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General NPI Number Information
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NPI Number | 1326244021
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Entity Type | Individual
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Provider Name | WILLIAM M. WARREN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 1332 HARDING PL
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City | CHARLOTTE
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State | NC
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Zip | 28204-2922
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Country | US
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Telephone | 704-333-2988
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Fax | 704-333-3102
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Provider Business Mailing Address
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Address Line | 2800 GIVERNY DR
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City | CHARLOTTE
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State | NC
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Zip | 28226-3307
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Country | US
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Telephone | 704-442-0136
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Fax | 704-364-0625
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 899
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License Number State | NC
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