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General NPI Number Information
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NPI Number | 1780855007
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Entity Type | Organization
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Legal Business Name | JON S NEWMAN PHD PLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 837 SEMINOLE RD SUITE 200
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City | MUSKEGON
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State | MI
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Zip | 49441
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Country | US
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Telephone | 231-780-0100
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Fax | 231-780-0111
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Provider Business Mailing Address
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Address Line | 837 SEMINOLE RD SUITE 200
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City | MUSKEGON
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State | MI
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Zip | 49441
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Country | US
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Telephone | 231-780-0100
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Fax | 231-780-0111
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JON STEFFEN NEWMAN
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Credential | PHD
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Telephone | 231-780-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301013149
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301008380
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301009970
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801077069
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801059126
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301013149
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License Number State | MI
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