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General NPI Number Information
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NPI Number | 1619091121
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Entity Type | Individual
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Provider Name | MICHAEL EVAN NEWMAN LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 31741 BOTTLE BRUSH STREET
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City | WINCHESTER
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State | CA
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Zip | 92596
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Country | US
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Telephone | 310-729-8300
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Fax | 915-380-8673
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Provider Business Mailing Address
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Address Line | 31741 BOTTLE BRUSH STREET
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City | WINCHESTER
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State | CA
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Zip | 92596
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Country | US
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Telephone | 310-729-8300
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Fax | 915-380-8673
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC40036
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 40036
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License Number State | CA
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