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General NPI Number Information
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NPI Number | 1649459421
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Entity Type | Organization
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Legal Business Name | JEFFREY B. WARREN, M.D. AND ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 1027 MINERAL WELLS AVE SUITE 7
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City | PARIS
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State | TN
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Zip | 38242-4905
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Country | US
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Telephone | 731-642-7802
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Fax | 731-642-7804
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | PARIS
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State | TN
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Zip | 38242-0190
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Country | US
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Telephone | 731-642-7802
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Fax | 731-642-7804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY BRYAN WARREN
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Credential | M.D.
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Telephone | 731-642-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 037723
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License Number State | GA
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