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General NPI Number Information
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NPI Number | 1326585738
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Entity Type | Individual
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Provider Name | CAPRISHA WARREN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 126 ENTERPRISE PATH STE 102
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City | HIRAM
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State | GA
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Zip | 30141-2655
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Country | US
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Telephone | 470-305-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 125 TOWNPARK DR NW
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City | KENNESAW
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State | GA
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Zip | 30144-5803
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Country | US
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Telephone | 404-474-8777
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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