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General NPI Number Information
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NPI Number | 1629148762
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Entity Type | Individual
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Provider Name | WILLIAM MARCUS NEWBERRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 9951 W ST LUKES DR
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City | NAMPA
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State | ID
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Zip | 83687-7914
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Country | US
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Telephone | 208-467-6700
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Fax | 208-463-6044
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 16828
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD213839
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 9671150
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License Number State | ID
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