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General NPI Number Information
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NPI Number | 1871708701
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Entity Type | Individual
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Provider Name | CONNIE BAUM NEWMAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 423 E 23RD ST 11093 SOUTH
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City | NEW YORK
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State | NY
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Zip | 10010-5011
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Country | US
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Telephone | 646-725-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 3 RED FOX TRL
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City | WARREN
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State | NJ
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Zip | 07059-6834
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Country | US
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Telephone | 732-271-0205
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Fax | 732-271-0163
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 140599
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License Number State | NY
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