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General NPI Number Information
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NPI Number | 1366822306
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Entity Type | Organization
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Legal Business Name | WARNER AND JANSEN PEDIATRICS, PLLC
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 3320 TATES CREEK RD SUITE 302
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City | LEXINGTON
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State | KY
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Zip | 40502-3400
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Country | US
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Telephone | 859-269-4604
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Fax | 859-266-0062
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Provider Business Mailing Address
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Address Line | 3320 TATES CREEK RD SUITE 302
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City | LEXINGTON
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State | KY
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Zip | 40502-3400
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Country | US
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Telephone | 859-269-4604
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Fax | 859-266-0062
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEREMY L WARNER
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Credential | MD
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Telephone | 859-269-4604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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