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General NPI Number Information
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NPI Number | 1699768127
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Entity Type | Individual
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Provider Name | DAVID N WARSHAWSKY O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 825 NICOLLET MALL SUITE 2000
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2606
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Country | US
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Telephone | 612-338-4861
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Fax | 612-333-8306
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Provider Business Mailing Address
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Address Line | 825 NICOLLET MALL SUITE 2000
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2606
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Country | US
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Telephone | 612-338-4861
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Fax | 612-333-8306
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1670
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License Number State | MN
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