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General NPI Number Information
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NPI Number | 1750412946
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Entity Type | Individual
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Provider Name | ANTONIO J WARING II M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 901 GAUSE BLVD
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City | SLIDELL
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State | LA
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Zip | 70458-2948
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Country | US
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Telephone | 985-280-6780
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Fax | 985-280-6781
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Provider Business Mailing Address
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Address Line | 1001 GAUSE BLVD # 75
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City | SLIDELL
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State | LA
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Zip | 70458-2939
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Country | US
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Telephone | 985-280-3609
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Fax | 985-280-9651
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 017995
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License Number State | LA
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