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General NPI Number Information
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NPI Number | 1871636340
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Entity Type | Individual
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Provider Name | MARIE M WARBURG M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | KOESTERBERG STR. 56A
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City | HAMBURG
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State | DE
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Zip | 22587
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Country | DE
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Telephone | 617-230-2633
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Fax |
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Provider Business Mailing Address
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Address Line | KOESTERBERG STR. 56A
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City | HAMBURG
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State | DE
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Zip | 22587
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Country | DE
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Telephone | 617-230-2633
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47795
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License Number State | MA
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