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General NPI Number Information
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NPI Number | 1154589133
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Entity Type | Organization
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Legal Business Name | WILLIAM J. WARREN DPM PA
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 218 SW 26TH AVE SUITE A
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City | MINERAL WELLS
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State | TX
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Zip | 76067-8248
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Country | US
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Telephone | 940-325-3330
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Fax | 940-325-3338
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Provider Business Mailing Address
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Address Line | 218 SW 26TH AVE SUITE A
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City | MINERAL WELLS
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State | TX
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Zip | 76067-8248
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Country | US
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Telephone | 940-325-3330
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Fax | 940-325-3338
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JOHN WARREN
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Credential | DPM
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Telephone | 940-325-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1689
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License Number State | TX
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