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General NPI Number Information
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NPI Number | 1427759521
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Entity Type | Individual
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Provider Name | DAVID NICHOLAS WARREN
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Gender | Male
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 2845 SE 3RD CT
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City | OCALA
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State | FL
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Zip | 34471-0444
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Country | US
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Telephone | 352-963-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LARCH RADL
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City | OCALA
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State | FL
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Zip | 34480-8263
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Country | US
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Telephone | 561-707-7035
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11025053
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9468214
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11025053
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 11025053
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License Number State | FL
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