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General NPI Number Information
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NPI Number | 1326462466
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Entity Type | Organization
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Legal Business Name | WARREN FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 8361 N.OWASSO EXPY SUITE E
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City | OWASSO
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State | OK
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Zip | 74055-7805
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Country | US
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Telephone | 918-272-0400
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Fax | 918-272-7260
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Provider Business Mailing Address
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Address Line | 8361 N OWASSO EXPY SUITE E
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City | OWASSO
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State | OK
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Zip | 74055-2105
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Country | US
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Telephone | 918-272-0400
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Fax | 918-272-7260
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN WARREN
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Credential | D.C.
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Telephone | 918-272-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | OK3717
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License Number State | OK
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