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General NPI Number Information
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NPI Number | 1578630216
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Entity Type | Individual
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Provider Name | VERONICA KIM NEWSOME DO
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 865 BEAVER DR
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City | DU BOIS
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State | PA
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Zip | 15801-2511
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Country | US
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Telephone | 814-371-2197
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Fax | 814-371-4837
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Provider Business Mailing Address
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Address Line | PO BOX 447
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City | DU BOIS
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State | PA
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Zip | 15801-0447
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Country | US
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Telephone | 814-371-2197
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Fax | 814-371-4837
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS013742
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License Number State | PA
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