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General NPI Number Information
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NPI Number | 1619732047
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Entity Type | Organization
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Legal Business Name | WARREN HOME HEALTHCARE
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 989 GOVERNORS LN STE 325
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City | LEXINGTON
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State | KY
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Zip | 40513-1189
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Country | US
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Telephone | 859-967-6866
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Fax |
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Provider Business Mailing Address
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Address Line | 989 GOVERNORS LN STE 325
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City | LEXINGTON
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State | KY
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Zip | 40513-1189
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Country | US
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Telephone | 859-967-6866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEN WARREN
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Credential | PT
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Telephone | 859-967-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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