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General NPI Number Information
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NPI Number | 1376693903
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Entity Type | Individual
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Provider Name | JEFF S. WARNER PT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 700 LILLY ROAD NE OLYMPIA MEDICAL CENTER
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City | OLYMPIA
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State | WA
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Zip | 98506-5196
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Country | US
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Telephone | 360-923-7621
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Fax | 360-923-7182
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Provider Business Mailing Address
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Address Line | 700 LILLY RD NE OLYMPIA MEDICAL CENTER
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City | OLYMPIA
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State | WA
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Zip | 98506-5196
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Country | US
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Telephone | 360-923-7000
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Fax | 360-923-7089
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT23772
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60751968
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License Number State | WA
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