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General NPI Number Information
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NPI Number | 1801306345
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Entity Type | Individual
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Provider Name | ALICIA ANNA WARRICK FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 5760 PATRIOT BLVD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-1170
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Country | US
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Telephone | 330-279-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 15303 STATE ROUTE 170
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9585
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.021794
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License Number State | OH
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