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NPI 1669609970

NPI 1669609970 : DANIEL E WARREN M.D. : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1669609970
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL E WARREN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2009
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    Last Update Date     |    08/11/2025
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Provider Practice Location Address
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    Address Line         |    731 N WATER ST STE 4 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67203-3855
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    Country              |    US
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    Telephone            |    316-246-1280
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    Fax                  |    316-267-3743
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Provider Business Mailing Address
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    Address Line         |    731 N WATER ST STE 4 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67203-3855
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    Country              |    US
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    Telephone            |    316-246-1280
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    Fax                  |    316-267-3843
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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        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    04-35232
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    License Number State |    KS
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