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General NPI Number Information
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NPI Number | 1326257908
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Entity Type | Individual
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Provider Name | RICHARD K WARREN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 12/13/2020
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Provider Practice Location Address
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Address Line | 24 FRONT ST SUITE 314
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City | EXETER
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State | NH
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Zip | 03833-2727
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Country | US
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Telephone | 603-778-7433
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Fax | 603-778-0022
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | EXETER
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State | NH
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Zip | 03833-0057
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Country | US
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Telephone | 603-778-7433
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Fax | 603-778-0022
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 590
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License Number State | NH
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