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General NPI Number Information
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NPI Number | 1669280392
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Entity Type | Individual
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Provider Name | CATHERINE WARREN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1330 BOILING SPRINGS RD STE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-4219
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Country | US
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Telephone | 864-583-2662
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Fax | 864-582-1608
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Provider Business Mailing Address
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Address Line | 1001 HARTS COVE WAY
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City | SENECA
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State | SC
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Zip | 29678-1489
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5740
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License Number State | SC
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