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General NPI Number Information
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NPI Number | 1669245411
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Entity Type | Individual
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Provider Name | WARREN COLE CREEL AGACNP-BC, RNFA
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Gender | Male
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 104 BURNEY DR
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City | FLOWOOD
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State | MS
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Zip | 39232-6621
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Country | US
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Telephone | 601-803-7933
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Fax |
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Provider Business Mailing Address
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Address Line | 104 BURNEY DR
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City | FLOWOOD
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State | MS
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Zip | 39232-6621
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Country | US
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Telephone | 601-987-8200
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Fax | 601-987-8211
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 907807
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-186474
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License Number State | AL
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