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General NPI Number Information
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NPI Number | 1477336741
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Entity Type | Individual
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Provider Name | KELLI ANN WARRENS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 3779 TRUEMAN CT
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City | HILLIARD
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State | OH
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Zip | 43026-2496
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Country | US
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Telephone | 740-564-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 2581 LONG BOW AVE
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City | LANCASTER
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State | OH
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Zip | 43130-7893
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Country | US
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Telephone | 740-564-9901
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN.CNS.0019487
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License Number State | OH
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