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General NPI Number Information
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NPI Number | 1275623449
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Entity Type | Individual
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Provider Name | MICHAEL ADAM WARONKER DO
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 1088 W BALTIMORE PIKE STE 2203
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City | MEDIA
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State | PA
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Zip | 19063-5136
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Country | US
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Telephone | 484-476-8390
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Fax | 484-227-9066
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Provider Business Mailing Address
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Address Line | 3803 W CHESTER PIKE STE 160
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2336
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Country | US
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Telephone | 484-476-8390
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Fax | 484-227-9066
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS009029L
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License Number State | PA
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