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General NPI Number Information
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NPI Number | 1912402512
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Entity Type | Individual
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Provider Name | BENJAMIN WALKER WARREN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2555 E 13TH ST STE 220
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City | LOVELAND
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State | CO
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Zip | 80537-5136
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Country | US
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Telephone | 970-669-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-441-6081
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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 | 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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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 74830
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License Number State | CO
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