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General NPI Number Information
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NPI Number | 1255515300
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Entity Type | Individual
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Provider Name | AUBREY LEON WARREN CO
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Gender | Male
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 6320 N CENTER DR 201
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City | NORFOLK
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State | VA
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Zip | 23502-4009
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Country | US
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Telephone | 757-892-5300
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Fax | 757-892-5303
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Provider Business Mailing Address
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Address Line | 6320 N CENTER DR 201
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City | NORFOLK
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State | VA
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Zip | 23502-4009
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Country | US
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Telephone | 757-892-5300
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Fax | 757-892-5303
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | CO 003925
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License Number State | DE
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