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General NPI Number Information
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NPI Number | 1457337594
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Entity Type | Individual
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Provider Name | STEVEN H. WARNOCK M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 11762 SOUTH STATE ST SUITE 220
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City | DRAPER
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State | UT
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Zip | 84020-4000
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Country | US
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Telephone | 801-571-2020
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Fax | 801-571-6899
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Provider Business Mailing Address
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Address Line | 11762 SOUTH STATE ST SUITE 220
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City | DRAPER
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State | UT
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Zip | 84020-4000
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Country | US
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Telephone | 801-571-2020
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Fax | 801-571-6899
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 263363-1205
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License Number State | UT
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