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General NPI Number Information
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NPI Number | 1497873467
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Entity Type | Individual
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Provider Name | DANIEL J NEWMAN MS, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6836 S MINGO RD UMAC - ATHLETIC DEPT
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City | TULSA
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State | OK
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Zip | 74133-3310
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Country | US
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Telephone | 918-461-7893
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Fax | 918-461-7899
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Provider Business Mailing Address
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Address Line | 8633 S 86TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-4329
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Country | US
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Telephone | 918-250-2119
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AT207
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License Number State | OK
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