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General NPI Number Information
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NPI Number | 1699116376
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Entity Type | Organization
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Legal Business Name | WARNER EYECARE, LLC
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 1642 OLIVE BRANCH PARKE LN # 1000
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City | GREENWOOD
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State | IN
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Zip | 46143-9821
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Country | US
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Telephone | 317-883-0071
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Fax | 317-883-0071
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Provider Business Mailing Address
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Address Line | 5249 BERKSHIRE NORTH BLVD
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City | GREENWOOD
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State | IN
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Zip | 46142-7755
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Country | US
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Telephone | 317-883-0071
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Fax | 317-883-0071
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON M. WARNER
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Credential | O.D.
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Telephone | 317-883-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003007A,B
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License Number State | IN
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