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General NPI Number Information
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NPI Number | 1649204074
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Entity Type | Organization
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Legal Business Name | WARREN CLINICS INC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1401 E VAN BUREN AVE
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City | MCALESTER
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State | OK
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Zip | 74501-4245
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Country | US
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Telephone | 918-426-0240
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Fax | 918-423-4051
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Provider Business Mailing Address
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Address Line | PO BOX 908
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City | MCALESTER
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State | OK
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Zip | 74502-0908
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Country | US
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Telephone | 918-426-0240
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Fax | 918-423-4051
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Authorized Official
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Title or Position | BUSINESS OPERATIONS MANAGER
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Name | DEBBIE NELSON
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Credential |
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Telephone | 918-426-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | OK
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