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General NPI Number Information
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NPI Number | 1407654197
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Entity Type | Organization
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Legal Business Name | WARRENMED
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 700 W FM 78 STE 203
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City | CIBOLO
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State | TX
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Zip | 78108-3553
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Country | US
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Telephone | 210-688-8486
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Fax | 210-688-8487
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Provider Business Mailing Address
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Address Line | 700 W FM 78 STE 203
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City | CIBOLO
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State | TX
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Zip | 78108-3553
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Country | US
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Telephone | 210-793-7993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LISA WARREN
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Credential | APRN
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Telephone | 210-771-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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