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General NPI Number Information
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NPI Number | 1881643377
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Entity Type | Individual
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Provider Name | WILLIAM PETER NEWMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 1919 ELM ST N
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City | FARGO
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State | ND
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Zip | 58102-2416
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Country | US
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Telephone | 701-293-4133
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Fax | 701-293-4145
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Provider Business Mailing Address
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Address Line | 1919 ELM ST N
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City | FARGO
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State | ND
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Zip | 58102-2416
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Country | US
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Telephone | 701-293-4133
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Fax | 701-293-4145
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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 | 4561
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 23611
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License Number State | MN
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