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General NPI Number Information
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NPI Number | 1902020787
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Entity Type | Individual
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Provider Name | JOHN DAVID NEWMARK M.S. , LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1041 IVES DAIRY RD BLDG.5 , SUITE 138
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-2539
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Country | US
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Telephone | 305-493-1190
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Fax | 305-493-1191
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Provider Business Mailing Address
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Address Line | 6710 BULL RUN RD APT 263
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City | MIAMI LAKES
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State | FL
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Zip | 33014-8100
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Country | US
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Telephone | 305-493-1190
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Fax | 305-493-1191
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 7821
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License Number State | FL
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