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General NPI Number Information
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NPI Number | 1255207015
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Entity Type | Organization
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Legal Business Name | CORY WARNER DDS, PLLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 190 N 1ST W
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City | RIGBY
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State | ID
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Zip | 83442-1305
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Country | US
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Telephone | 208-745-7424
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Fax |
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Provider Business Mailing Address
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Address Line | 190 N 1ST W
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City | RIGBY
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State | ID
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Zip | 83442-1305
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Country | US
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Telephone | 208-745-7424
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | CORY WARNER
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Credential | DDS
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Telephone | 208-716-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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