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NPI Code Detail

MEDICARE: DR. TIYRONE WARREN

MEDICARE: DR. TIYRONE WARREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.2504753-TRNEOH
2171400000XHealth & Wellness Coach
3174H00000XHealth Educator
4171M00000XCase Manager/Care Coordinator
5172V00000XCommunity Health Worker
6372600000XAdult Companion
7175T00000XPeer Specialist
8101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1184464331
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIYRONE WARREN
Provider Business Mailing Address
First Line : 4595 PADDOCK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-1131
Country : US
Telephone Number : 323-270-2165
Fax Number :
Provider Business Practice Location Address
First Line : 4595 PADDOCK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-1131
Country : US
Telephone Number : 323-312-8191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2024
Last Update Date : 01/27/2026

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