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NPI 1487654034

NPI 1487654034 : BRET J WARNER MD : GREENWOOD, SC

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General NPI Number Information
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    NPI Number           |    1487654034
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    Entity Type          |    Individual 
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    Provider Name        |    BRET J WARNER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/26/2005
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    Last Update Date     |    09/04/2015
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Provider Practice Location Address
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    Address Line         |    917 BYPASS 225 S 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29646-8025
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    Country              |    US
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    Telephone            |    864-227-5240
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    Fax                  |    864-227-5239
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3193 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29648-3193
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    Country              |    US
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    Telephone            |    864-227-5240
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    Fax                  |    864-227-5239
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    18466
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    License Number State |    SC
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