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General NPI Number Information
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NPI Number | 1669468211
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Entity Type | Individual
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Provider Name | PAUL ANDREW NEWMAN ATC
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MITCHELL CENTER 1209 USA CAMPUS
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City | MOBILE
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State | AL
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Zip | 36688-0001
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Country | US
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Telephone | 251-460-6874
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Fax | 251-460-7607
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Provider Business Mailing Address
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Address Line | 1112 WILDWOOD AVE
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City | MOBILE
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State | AL
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Zip | 36609-3054
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Country | US
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Telephone | 251-460-6874
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Fax | 251-460-7607
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 070
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License Number State | AL
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