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General NPI Number Information
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NPI Number | 1710326814
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Entity Type | Individual
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Provider Name | CELESTE M WARLICK N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 5218 BECK DR STE 12
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City | ELKHART
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State | IN
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Zip | 46516-9132
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Country | US
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Telephone | 574-335-7700
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Fax | 574-335-0737
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Provider Business Mailing Address
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Address Line | 14231 BEADLE LAKE RD
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City | BATTLE CREEK
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State | MI
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Zip | 49014-8213
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Country | US
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Telephone | 269-962-0441
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Fax | 269-962-0925
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704299445
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71008679
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License Number State | IN
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