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General NPI Number Information
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NPI Number | 1104215383
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY WARREN APRN-CNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 1603 BABCOCK RD UNIT 251
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4708
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Country | US
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Telephone | 405-361-7859
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 BABCOCK RD UNIT 251
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4708
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Country | US
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Telephone | 405-361-7859
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 89877
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 89877
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License Number State | OK
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