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General NPI Number Information
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NPI Number | 1083831028
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Entity Type | Individual
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Provider Name | DEBORAH COLLEEN WARREN ARNP, BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 DEBRA RD BLDG 6200 EASTGATE CENTER
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5616
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Country | US
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Telephone | 423-893-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 699 AL HIGHWAY 146
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City | SCOTTSBORO
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State | AL
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Zip | 35768-5439
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Country | US
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Telephone | 256-587-6127
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN0000007698
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License Number State | TN
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