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General NPI Number Information
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NPI Number | 1649469859
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Entity Type | Organization
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Legal Business Name | NEIL NEWBERG MD PA
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 5474 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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Country | US
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Telephone | 407-679-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 5474 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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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 | PHYSICIAN
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Name | NEIL NEWBERG
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Credential | M.D.
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Telephone | 407-679-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME13363
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License Number State | FL
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