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General NPI Number Information
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NPI Number | 1609677376
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Entity Type | Individual
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Provider Name | THERESA N/A WARREN RN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 111 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4870
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Country | US
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Telephone | 215-915-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 131 PEABODY LN
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City | MARLTON
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State | NJ
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Zip | 08053-1964
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Country | US
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Telephone |
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | RN723925
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN723925
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License Number State | PA
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