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General NPI Number Information
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NPI Number | 1760757199
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Entity Type | Individual
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Provider Name | DREW K NEWHOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 4304 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-4811
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Country | US
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Telephone | 505-888-1075
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Fax | 505-888-1082
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Provider Business Mailing Address
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Address Line | 201 CEDAR ST SE STE 6600
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-5411
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Country | US
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Telephone | 505-888-1075
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Fax | 505-888-1082
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD2014-0715
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License Number State | NM
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