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General NPI Number Information
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NPI Number | 1821118753
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Entity Type | Organization
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Legal Business Name | RICHARD P NEWMAN MD PA
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1395 N COURTENAY PKWY STE 106
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4474
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Country | US
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Telephone | 321-431-6646
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Fax | 321-453-7784
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Provider Business Mailing Address
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Address Line | 2076 S COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3912
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Country | US
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Telephone | 321-431-6646
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Fax | 321-453-7784
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD PAUL NEWMAN
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Credential | M.D.
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Telephone | 321-431-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0045046
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License Number State | FL
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