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General NPI Number Information
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NPI Number | 1255734612
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Entity Type | Organization
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Legal Business Name | PETER Q WARINNER, MD, PA
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 2505 FLAGLER AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3934
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Country | US
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Telephone | 305-295-6790
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Fax | 888-434-7979
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Provider Business Mailing Address
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Address Line | 2505 FLAGLER AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3934
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Country | US
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Telephone | 305-295-6790
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Fax | 888-434-7979
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER Q WARINNER
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Credential | M.D.
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Telephone | 305-295-6790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME89376
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License Number State | FL
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