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General NPI Number Information
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NPI Number | 1386846426
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Entity Type | Individual
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Provider Name | BRUCE WARWICK R.N.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 436 AND 5TH TED STEVENS WAY
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City | KOTZEBUE
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State | AK
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Zip | 99752-0043
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Country | US
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Telephone | 907-442-7455
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Fax | 907-442-7245
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Provider Business Mailing Address
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Address Line | PO BOX 112 20 UNIT 3RD STREET APT#102
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City | KOTZEBUE
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State | AK
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Zip | 99752-0112
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Country | US
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Telephone | 907-442-7455
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Fax | 907-442-7245
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 15568
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License Number State | AK
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