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General NPI Number Information
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NPI Number | 1013981349
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Entity Type | Individual
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Provider Name | RICHARD F WARREN MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 2301 E 93RD ST SUITE 110
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City | CHICAGO
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State | IL
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Zip | 60617-3913
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Country | US
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Telephone | 773-731-2982
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Fax | 773-731-3328
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Provider Business Mailing Address
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Address Line | 122 E COLLEGE AVE
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City | APPLETON
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State | WI
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Zip | 54911-5794
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Country | US
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Telephone | 920-996-3264
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Fax | 920-830-5910
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036078470
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 036078470
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 18369
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 036078470
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License Number State | IL
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