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General NPI Number Information
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NPI Number | 1720444854
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Entity Type | Individual
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Provider Name | REBECCA MARIE WARNICK L.G.S.W
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1005 WHITE WILLOW WAY
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City | MORGANTOWN
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State | WV
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Zip | 26505-6119
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Country | US
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Telephone | 304-513-3495
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Fax | 800-734-8498
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Provider Business Mailing Address
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Address Line | 65 PROFESSIONAL PL STE 102103
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City | BRIDGEPORT
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State | WV
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Zip | 26330-0258
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Country | US
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Telephone | 304-848-5770
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Fax | 304-848-0890
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | BP00944794
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00944794
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License Number State | WV
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