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General NPI Number Information
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NPI Number | 1710512843
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Entity Type | Individual
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Provider Name | DAISY WARREN FNP- C & PMHNP - BC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 4477 W 118TH ST STE 300
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City | HAWTHORNE
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State | CA
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Zip | 90250-2258
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Country | US
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Telephone | 310-340-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 4477 W 118TH ST STE 300
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City | HAWTHORNE
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State | CA
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Zip | 90250-2258
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Country | US
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Telephone | 310-340-5677
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95014100
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License Number State | CA
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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 | 95014100
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License Number State | CA
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