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General NPI Number Information
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NPI Number | 1679736128
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Entity Type | Individual
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Provider Name | ANDREW DWIGHT NEWBURN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2008
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 340 OXFORD ST STE 310
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City | DOVER
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State | OH
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Zip | 44622-1966
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Country | US
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Telephone | 330-364-8011
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Fax | 330-364-0058
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Provider Business Mailing Address
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Address Line | 340 OXFORD ST STE 310
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City | DOVER
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State | OH
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Zip | 44622-1966
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Country | US
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Telephone | 330-364-8011
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Fax | 330-364-0058
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.096523
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License Number State | OH
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