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General NPI Number Information
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NPI Number | 1437422243
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Entity Type | Individual
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Provider Name | KARA ELIZABETH WARREN ACNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3120 GOVERNORS PLACE BLVD
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City | DAYTON
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State | OH
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Zip | 45409-1328
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Country | US
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Telephone | 937-293-1622
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Fax | 937-245-6308
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Provider Business Mailing Address
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Address Line | 6680 POE AVE STE 200
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City | DAYTON
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State | OH
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Zip | 45414-2855
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Country | US
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Telephone | 937-280-8366
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Fax | 937-245-6330
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | COA.13128-NP
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License Number State | OH
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