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NPI 1922082189

NPI 1922082189 : JEFFREY L. NEWMAN M.D. : BONSALL, CA

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General NPI Number Information
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    NPI Number           |    1922082189
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY L. NEWMAN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/01/2005
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    31457 LAKE VISTA CIR 
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    City                 |    BONSALL
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    State                |    CA
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    Zip                  |    92003-5308
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    Country              |    US
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    Telephone            |    760-941-8888
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    Fax                  |    760-650-3135
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Provider Business Mailing Address
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    Address Line         |    204 S SANTA FE AVE 
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    City                 |    VISTA
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    State                |    CA
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    Zip                  |    92084-6002
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    Country              |    US
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    Telephone            |    760-941-8888
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    Fax                  |    760-650-3135
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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        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    A43808
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    License Number State |    CA
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