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General NPI Number Information
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NPI Number | 1871517508
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Entity Type | Individual
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Provider Name | CATHLEEN R NEWBERG PT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 6707 DEMOCRACY BLVD STE 504
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City | BETHESDA
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State | MD
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Zip | 20817-1166
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Country | US
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Telephone | 301-607-9096
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Fax | 410-848-3909
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Provider Business Mailing Address
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Address Line | 6707 DEMOCRACY BLVD STE 504
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City | BETHESDA
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State | MD
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Zip | 20817-1166
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Country | US
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Telephone | 301-607-9096
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Fax | 410-848-3909
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15670
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License Number State | MD
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