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General NPI Number Information
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NPI Number | 1780722587
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Entity Type | Individual
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Provider Name | WARREN D ERVIN MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 100 SPRINGHOUSE CT SUITE 100
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1609
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Country | US
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Telephone | 615-826-2080
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Fax | 615-822-3213
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Provider Business Mailing Address
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Address Line | 100 SPRINGHOUSE CT SUITE 100
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1609
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Country | US
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Telephone | 615-826-2080
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Fax | 615-822-3213
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD14762
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License Number State | TN
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