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General NPI Number Information
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NPI Number | 1265105365
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Entity Type | Individual
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Provider Name | MINDY MARIE WARE
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1124 DRUMMOND AVE
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City | CHARLOTTE
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State | NC
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Zip | 28205-1918
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Country | US
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Telephone | 501-772-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 POINT ST APT 325
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City | BALTIMORE
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State | MD
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Zip | 21231-3389
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Country | US
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Telephone | 501-772-6380
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R106181
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 007212
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License Number State | NC
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