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General NPI Number Information
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NPI Number | 1891461786
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Entity Type | Individual
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Provider Name | KATHLEEN DIANA WARMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 1550 MADRUGA AVE STE 510
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City | CORAL GABLES
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State | FL
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Zip | 33146-3048
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Country | US
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Telephone | 305-771-5621
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 LUDLAM RD APT 650
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City | MIAMI
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State | FL
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Zip | 33155-1988
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Country | US
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Telephone | 305-562-3845
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY11755
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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