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General NPI Number Information
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NPI Number | 1750552220
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Entity Type | Individual
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Provider Name | TESHA ANNE NEWMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 239 HOOHANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-2452
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Country | US
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Telephone | 808-893-0578
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Fax |
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Provider Business Mailing Address
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Address Line | 2371 WAIPUA ST
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City | PAIA
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State | HI
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Zip | 96779-9752
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Country | US
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Telephone | 808-877-5354
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13055
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License Number State | HI
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