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General NPI Number Information
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NPI Number | 1720990773
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Entity Type | Individual
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Provider Name | CIARA WARNER
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Gender | Female
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1510 E BROADWAY AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-5301
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Country | US
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Telephone | 602-475-0135
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Fax | 602-275-0085
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Provider Business Mailing Address
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Address Line | 1510 E BROADWAY AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-5301
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Country | US
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Telephone | 602-475-0135
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Fax | 602-275-0085
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALC20048
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License Number State | AZ
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