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General NPI Number Information
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NPI Number | 1811623713
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Entity Type | Organization
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Legal Business Name | WARREN MEDICLINIC ASSOCIATES LTD LLP
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 7921 JESSIES WAY
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City | HAMILTON
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State | OH
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Zip | 45011-8077
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Country | US
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Telephone | 513-844-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 7921 JESSIES WAY
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City | HAMILTON
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State | OH
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Zip | 45011-8077
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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 | LEAD ADVANCED PRACTICE PROVIDER
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Name | DOMENIC A BERMUDEZ
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Credential | PA
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Telephone | 513-844-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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