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General NPI Number Information
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NPI Number | 1972339687
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Entity Type | Individual
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Provider Name | TRESTON WARREN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 1146 BANK ST
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City | CINCINNATI
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State | OH
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Zip | 45214-2163
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Country | US
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Telephone | 513-562-8841
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Fax | 513-345-1779
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Provider Business Mailing Address
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Address Line | 1634 CEDAR AVE APT 2
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City | CINCINNATI
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State | OH
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Zip | 45224-2871
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Country | US
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Telephone |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 03443171
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License Number State | OH
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