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General NPI Number Information
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NPI Number | 1558399212
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Entity Type | Individual
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Provider Name | BETH G. WARREN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6124 W PARKER RD SUITE 436
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City | PLANO
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State | TX
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Zip | 75093-8122
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Country | US
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Telephone | 972-378-5250
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Fax | 372-378-6919
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Provider Business Mailing Address
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Address Line | 2098 ACOSTA LN
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City | LEWISVILLE
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State | TX
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Zip | 75067-6150
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Country | US
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Telephone | 972-316-2023
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Fax | 972-378-6919
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M0963
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License Number State | TX
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