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General NPI Number Information
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NPI Number | 1902215072
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Entity Type | Organization
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Legal Business Name | RICHARD H WARN DPM INC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 3570 WARRENSVILLE CENTER RD STE 102C
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City | SHAKER HTS
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State | OH
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Zip | 44122-5288
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Country | US
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Telephone | 216-227-3338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21304
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-0304
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Country | US
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Telephone | 216-227-3338
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Fax | 216-691-0403
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD H WARN
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Credential | DPM
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Telephone | 216-227-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36002185
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License Number State | OH
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