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General NPI Number Information
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NPI Number | 1740926468
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Entity Type | Individual
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Provider Name | ANDREW WARREN
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Gender | Male
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1635 POPPS FERRY RD STE E
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City | BILOXI
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State | MS
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Zip | 39532-2312
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Country | US
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Telephone | 228-354-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 BIENVILLE BLVD # E318
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-7576
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Country | US
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Telephone | 228-327-1177
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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