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General NPI Number Information
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NPI Number | 1861449480
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Entity Type | Individual
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Provider Name | AARON N. NEWBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1939 W CHELTENHAM AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-1046
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Country | US
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Telephone | 215-924-6667
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Fax | 215-884-1442
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Provider Business Mailing Address
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Address Line | 1866 FOOTHILL DR
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-7920
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Country | US
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Telephone | 215-947-6789
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Fax | 215-677-6706
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD006707E
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License Number State | PA
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