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General NPI Number Information
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NPI Number | 1518144336
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Entity Type | Organization
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Legal Business Name | ALAN R. WARREN, D.P.M.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 24836 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1241
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Country | US
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Telephone | 586-778-0400
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Fax | 586-778-5263
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Provider Business Mailing Address
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Address Line | 24836 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1241
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Country | US
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Telephone | 586-778-0400
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Fax | 586-778-5263
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ALAN R WARREN
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Credential | DPM
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Telephone | 586-778-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | AW400236
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License Number State | MI
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