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General NPI Number Information
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NPI Number | 1851552806
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Entity Type | Individual
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Provider Name | LARRY WEDELL WARNER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 10235 JEFFERSON HWY BUILDING 4 SUITE B
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City | BATON ROUGE
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State | LA
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Zip | 70809
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Country | US
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Telephone | 225-456-2884
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Fax | 225-456-2892
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Provider Business Mailing Address
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Address Line | 10235 JEFFERSON HWY STE B
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City | BATON ROUGE
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State | LA
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Zip | 70809-3195
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Country | US
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Telephone | 225-456-2884
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Fax | 225-456-2892
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 203545
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61561495
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License Number State | WA
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