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General NPI Number Information
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NPI Number | 1558464123
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Entity Type | Organization
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Legal Business Name | RICHARD B WARRINER DDS PA
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1555 MEDICAL PARK CIR
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City | TUPELO
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State | MS
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Zip | 38801
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Country | US
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Telephone | 662-844-3315
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Fax | 662-842-8228
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Provider Business Mailing Address
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Address Line | 1555 MEDICAL PARK CIR
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City | TUPELO
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State | MS
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Zip | 38801
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Country | US
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Telephone | 662-844-3315
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Fax | 662-842-8228
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Authorized Official
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Title or Position | PEDIATRIC DENTIST OWNER
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Name | DR. TRICE WARRINER SUMNER
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Credential | DDS
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Telephone | 662-844-3315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | PEDO34400
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | PEDO478
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License Number State | MS
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