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General NPI Number Information
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NPI Number | 1437289451
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Entity Type | Organization
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Legal Business Name | DR JAY R NEWMAN PA
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 15340 JOG RD STE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2170
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Country | US
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Telephone | 561-638-7600
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Fax | 561-638-6787
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Provider Business Mailing Address
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Address Line | 15340 JOG ROAD SUITE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33446-0000
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Country | US
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Telephone | 561-638-7600
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Fax | 561-638-6787
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Authorized Official
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Title or Position | CEO
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Name | DR. JAY R NEWMAN
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Credential | DPM
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Telephone | 561-638-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2131
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | PO 2131
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO 2131
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO 2131
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License Number State | FL
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