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General NPI Number Information
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NPI Number | 1588780365
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Entity Type | Individual
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Provider Name | JUSTIN NEWMAN OMD, M.AC.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/20/2019
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Provider Practice Location Address
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Address Line | 8603 S DIXIE HWY SUITE 217
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City | MIAMI
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State | FL
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Zip | 33143-7807
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Country | US
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Telephone | 305-663-5696
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Fax | 305-663-5699
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Provider Business Mailing Address
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Address Line | 6619 S DIXIE HWY STE 229
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City | MIAMI
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State | FL
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Zip | 33143-7919
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Country | US
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Telephone | 305-898-6020
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Fax | 305-663-5699
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1369
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License Number State | FL
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