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General NPI Number Information
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NPI Number | 1023340809
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Entity Type | Individual
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Provider Name | MICHAEL WARREN PA
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Gender | Male
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1932 OAK DR
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City | MURFREESBORO
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State | TN
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Zip | 37128-5522
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 NEW SALEM HWY
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City | MURFREESBORO
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State | TN
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Zip | 37128-5253
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Country | US
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Telephone | 615-396-6850
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Fax | 615-396-6855
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2532
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License Number State | TN
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