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General NPI Number Information
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NPI Number | 1023523891
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Entity Type | Individual
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Provider Name | HEATHER ANGELA WARNER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 2939 S SHERIDAN RD
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City | STANTON
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State | MI
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Zip | 48888-9285
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Country | US
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Telephone | 989-831-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E HOLLAND LAKE DR
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City | SHERIDAN
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State | MI
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Zip | 48884-8317
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Country | US
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Telephone | 517-712-6617
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22849
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704257143
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License Number State | MI
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