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General NPI Number Information
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NPI Number | 1902985518
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Entity Type | Individual
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Provider Name | JOHN PATRICK WARREN P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1776 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-7442
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Country | US
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Telephone | 405-360-5600
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Fax | 405-360-1309
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Provider Business Mailing Address
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Address Line | 215 KINGSBURY DR
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City | NORMAN
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State | OK
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Zip | 73072-5002
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Country | US
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Telephone | 405-360-6391
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA223
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License Number State | OK
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