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General NPI Number Information
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NPI Number | 1760591242
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Entity Type | Individual
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Provider Name | DAREN MARK NEWFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 541 10TH ST NW BOX 207
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City | ATLANTA
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State | GA
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Zip | 30318-5713
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Country | US
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Telephone | 404-845-0777
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Fax | 404-256-2443
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Provider Business Mailing Address
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Address Line | 541-207 TENTH STREET NW
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City | ATLANTA
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State | GA
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Zip | 30318-5713
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Country | US
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Telephone | 404-845-0777
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Fax | 404-256-2443
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 040750
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License Number State | GA
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