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General NPI Number Information
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NPI Number | 1568717163
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Entity Type | Individual
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Provider Name | JARED ALEXANDER WARREN DO, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2950 CLEVELAND CLINIC BLVD
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City | WESTON
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State | FL
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Zip | 33331-3625
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Country | US
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Telephone | 216-704-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 3155 SW 147TH TER # 152
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-6263
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Country | US
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Telephone | 425-301-7914
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | OS21935
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License Number State | FL
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