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General NPI Number Information
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NPI Number | 1265164008
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Entity Type | Individual
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Provider Name | TIMARRA MARIE WARREN PMHNP-DNP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 100 CAMBRIDGE ST FL 14
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City | BOSTON
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State | MA
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Zip | 02114-2509
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Country | US
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Telephone | 646-941-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CAMBRIDGE ST FL 14
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City | BOSTON
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State | MA
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Zip | 02114-2509
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Country | US
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Telephone | 646-941-7645
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2307292
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN2307292
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN311096
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN2307292
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2307292
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License Number State | MA
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