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Individual
EMILY NEWHOUSE
Active
Individual
EMILY NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051821
FQHC MEDICARE A
CA
01
—
551975
FQHC MEDICARE A
CA
01
—
ZZZ29799Z
FFS MEDICARE B
CA
01
—
ZZZ72118Z
FFS MEDICARE B
CA
Enumeration date
05/07/2007
Last updated
07/09/2010
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