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General NPI Number Information
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NPI Number | 1093105884
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Entity Type | Organization
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Legal Business Name | WILLIAM DONALD WARRING WARRING WILLIAM DONALD MD
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Dates
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Enumeration Date | 01/31/2015
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Last Update Date | 01/31/2015
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Provider Practice Location Address
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Address Line | 125 NW SANTA FE BLVD
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-4301
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Country | US
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Telephone | 386-454-2688
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Fax | 386-454-2680
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Provider Business Mailing Address
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Address Line | 125 NW SANTA FE BLVD P O BOX 2688
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-4301
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Country | US
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Telephone | 386-454-2688
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Fax | 386-454-2680
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | WILLIAM DONALD WARRING
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Credential | M.D.
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Telephone | 386-454-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME39251
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License Number State | FL
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