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General NPI Number Information
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NPI Number | 1013984129
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Entity Type | Organization
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Legal Business Name | WARREN RETINA ASSOCIATES, PA
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10100 W 119TH ST SUITE 260
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1604
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Country | US
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Telephone | 913-339-6970
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Fax | 913-339-6974
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Provider Business Mailing Address
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Address Line | 12905 WESTGATE ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2365
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Country | US
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Telephone | 913-897-2899
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Fax | 913-897-8017
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH ADRIAN WARREN
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Credential | MD
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Telephone | 913-339-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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