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General NPI Number Information
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NPI Number | 1477050789
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Entity Type | Individual
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Provider Name | AUDREY MARGARITA NEWSUM NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-5871
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Fax | 949-764-1493
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Provider Business Mailing Address
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Address Line | 2218 ROSE AVE
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City | SIGNAL HILL
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State | CA
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Zip | 90755-3721
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Country | US
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Telephone | 562-972-6690
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95008841
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License Number State | CA
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