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General NPI Number Information
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NPI Number | 1861713018
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Entity Type | Organization
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Legal Business Name | DHIRAJ WARMAN MD PA
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 10441 QUALITY DR STE 300
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City | SPRING HILL
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State | FL
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Zip | 34609-9650
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Country | US
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Telephone | 352-683-3136
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Fax | 352-683-3160
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Provider Business Mailing Address
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Address Line | PO BOX 340609
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City | TAMPA
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State | FL
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Zip | 33694-0609
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Country | US
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Telephone | 352-683-3136
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Fax | 352-683-3160
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. DHIRAJ WARMAN
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Credential | MD PA
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Telephone | 352-683-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN14394
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME68576
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License Number State | FL
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