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General NPI Number Information
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NPI Number | 1194377630
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Entity Type | Individual
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Provider Name | ANDREW SETH WARNOCK NP-C
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Gender | Male
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 2839 RAILROAD AVE
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City | CADWELL
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State | GA
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Zip | 31009-3465
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Country | US
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Telephone | 478-689-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 127 MELVIN DR
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City | COCHRAN
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State | GA
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Zip | 31014-8121
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Country | US
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Telephone | 478-230-0803
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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 | RN231159
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License Number State | GA
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