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General NPI Number Information
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NPI Number | 1801153010
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Entity Type | Individual
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Provider Name | JONATHAN DANIEL WARUS MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 301 S FAIR OAKS AVE STE 105
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City | PASADENA
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State | CA
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Zip | 91105-2536
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Country | US
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Telephone | 866-846-5062
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Fax | 800-890-5211
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Provider Business Mailing Address
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Address Line | 301 S FAIR OAKS AVE STE 105
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City | PASADENA
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State | CA
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Zip | 91105-2536
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Country | US
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Telephone | 866-846-5062
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Fax | 800-890-5211
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | A136495
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License Number State | CA
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