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General NPI Number Information
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NPI Number | 1003005596
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Entity Type | Organization
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Legal Business Name | WARREN-LORAINE INC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 241 PADDOCK CT
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City | DELAWARE
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State | OH
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Zip | 43015-1317
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Country | US
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Telephone | 740-363-1975
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Fax | 740-363-4662
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Provider Business Mailing Address
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Address Line | 241 PADDOCK CT
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City | DELAWARE
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State | OH
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Zip | 43015-1317
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Country | US
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Telephone | 740-363-1975
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Fax | 740-363-4662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL WARREN STEGER
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Credential | MD
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Telephone | 740-363-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 79152
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License Number State | OH
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