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General NPI Number Information
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NPI Number | 1245737667
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Entity Type | Individual
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Provider Name | AUSTIN WILLIAM WARNE
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5315 ROSS AVE
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City | DALLAS
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State | TX
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Zip | 75206-7418
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Country | US
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Telephone | 214-826-2151
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Fax | 214-826-2196
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Provider Business Mailing Address
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Address Line | 2121 HARDY LN
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3734
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Country | US
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Telephone | 214-938-0370
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | T1599
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License Number State | TX
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