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General NPI Number Information
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NPI Number | 1457088163
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Entity Type | Individual
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Provider Name | TASHA WARREN RD, LDN, LNHA, CALA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2049 BROWNWOOD RD
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City | DEEP GAP
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State | NC
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Zip | 28618-9777
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Country | US
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Telephone | 336-793-0532
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 893
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City | WALKERTOWN
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State | NC
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Zip | 27051-0893
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Country | US
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Telephone | 336-817-2262
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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 | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 2068
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 816668
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License Number State | NC
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