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General NPI Number Information
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NPI Number | 1184914483
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Entity Type | Organization
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Legal Business Name | MARK WARNEMENT
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 449 E CHERRY ST
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City | FREMONT
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State | MI
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Zip | 49412-1311
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Country | US
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Telephone | 231-924-2978
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Fax |
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Provider Business Mailing Address
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Address Line | 449 E CHERRY ST
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City | FREMONT
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State | MI
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Zip | 49412-1311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK ANTHONY WARNEMENT
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Credential |
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Telephone | 231-924-2978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | W655585067412
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | W655585067412
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License Number State | MI
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