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General NPI Number Information
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NPI Number | 1770529554
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Entity Type | Individual
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Provider Name | MARC C NEWMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 3322 N BROAD ST DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5185
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Country | US
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Telephone | 215-707-4600
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Fax | 215-707-4034
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Provider Business Mailing Address
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Address Line | 2450 W HUNTING PARK AVE 3/208N
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1302
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Country | US
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Telephone | 215-707-5522
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Fax | 215-707-5031
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD051852L
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License Number State | PA
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