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General NPI Number Information
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NPI Number | 1518893486
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Entity Type | Individual
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Provider Name | JACOB NEWMAN
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Gender | Male
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY STE 280
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City | ALPHARETTA
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State | GA
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Zip | 30022-1176
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Country | US
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Telephone | 404-834-2363
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Fax |
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Provider Business Mailing Address
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Address Line | 5495 N HILLBROOKE TRCE
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City | JOHNS CREEK
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State | GA
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Zip | 30005-7238
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Country | US
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Telephone | 470-485-5802
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW012661
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License Number State | GA
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