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General NPI Number Information
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NPI Number | 1821317256
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Entity Type | Organization
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Legal Business Name | STEVEN M NEWMAN OD PA
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 771 S STATE ROAD 7
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City | PLANTATION
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State | FL
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Zip | 33317-4000
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Country | US
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Telephone | 954-584-3838
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Fax | 954-583-5011
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Provider Business Mailing Address
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Address Line | 771 S STATE ROAD 7
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City | PLANTATION
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State | FL
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Zip | 33317-4000
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Country | US
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Telephone | 954-584-3838
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Fax | 954-583-5011
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN MARK NEWMAN
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Credential | OD
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Telephone | 954-599-3285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC0003029
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License Number State | FL
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