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General NPI Number Information
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NPI Number | 1912979808
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Entity Type | Individual
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Provider Name | STEVEN F WARANCH PSYD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 933 FIRST COLONIAL RD SUITE 202
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3172
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Country | US
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Telephone | 757-321-4744
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Fax | 757-428-8836
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Provider Business Mailing Address
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Address Line | PO BOX 13296
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City | CHESAPEAKE
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State | VA
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Zip | 23325-0296
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Country | US
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Telephone | 757-714-1838
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Fax | 757-321-6269
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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 | 0810001439
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License Number State | VA
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