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General NPI Number Information
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NPI Number | 1346440153
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Entity Type | Organization
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Legal Business Name | LARIMORE C. WARREN, M.D., P.C.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 1405 W BADDOUR PKWY SUITE 100
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City | LEBANON
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State | TN
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Zip | 37087-2567
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Country | US
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Telephone | 615-444-3145
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Fax | 615-444-3312
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Provider Business Mailing Address
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Address Line | 1405 W BADDOUR PKWY SUITE 100
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City | LEBANON
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State | TN
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Zip | 37087-2567
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Country | US
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Telephone | 615-444-3145
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Fax | 615-444-3312
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. LARIMORE C WARREN
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Credential | M.D.
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Telephone | 615-444-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD15070
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License Number State | TN
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