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General NPI Number Information
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NPI Number | 1730833724
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Entity Type | Individual
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Provider Name | GRACE WARWICK
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 505 N PITTSBURGH STREET
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-3220
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Country | US
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Telephone | 724-603-6200
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Fax | 724-626-4480
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Provider Business Mailing Address
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Address Line | 599 N CHURCH STREET SUITE 200
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City | MOUNT PLEASANT
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State | PA
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Zip | 15666-1004
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Country | US
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Telephone | 724-542-5349
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Fax | 724-542-4658
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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 | SP025296
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License Number State | PA
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