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General NPI Number Information
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NPI Number | 1659366474
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Entity Type | Individual
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Provider Name | ARTHUR NEWBERG MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 PARKER HILL AVE
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City | ROXBURY CROSSING
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State | MA
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Zip | 02120-2847
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Country | US
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Telephone | 617-754-6687
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9135 ATT:SHARON SILVA
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City | BROOKLINE
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State | MA
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Zip | 02446-9135
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Country | US
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Telephone | 800-927-0002
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 39623
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License Number State | MA
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