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NPI Code Detail

MEDICARE: THOMAS WARRENDER

MEDICARE: THOMAS WARRENDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid FitterFO2838PA

General Provider Information

NPI Number : 1114077880
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS WARRENDER
Provider Business Mailing Address
First Line : 1818 E STATE ST
Second Line :
City : HERMITAGE
State : PA
Zip : 16148-1852
Country : US
Telephone Number : 724-981-5930
Fax Number : 724-981-5213
Provider Business Practice Location Address
First Line : 1818 E STATE ST
Second Line :
City : HERMITAGE
State : PA
Zip : 16148-1852
Country : US
Telephone Number : 724-981-5930
Fax Number : 724-981-5213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/09/2007

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Directions to “ THOMAS WARRENDER ” Practice Location

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