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General NPI Number Information
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NPI Number | 1679512537
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Entity Type | Individual
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Provider Name | DONALD EARL NEWBERRY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 41865 POMEROY PIKE
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City | POMEROY
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State | OH
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Zip | 45769-9473
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Country | US
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Telephone | 740-992-0540
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Fax | 740-992-0264
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-775-7855
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 336
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7409
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License Number State | OH
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