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General NPI Number Information
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NPI Number | 1821355025
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Entity Type | Organization
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Legal Business Name | WARRINER, LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1301 S 8TH ST SUITE 109
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7335
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Country | US
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Telephone | 719-440-0126
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Fax | 719-632-4078
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Provider Business Mailing Address
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Address Line | 1301 S 8TH ST SUITE 109
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7335
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Country | US
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Telephone | 719-440-0126
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Fax | 719-632-4078
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Authorized Official
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Title or Position | CEO
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Name | CYNTHIA LEE WARRINER
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Credential | FPNP-BC
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Telephone | 719-440-0126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 119357
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License Number State | CO
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