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Individual
DR. EDWARD SHAW WARREN
Active
Individual
DR. EDWARD SHAW WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22026
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
22026
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
22026
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T62508
—
SC
Enumeration date
02/02/2006
Last updated
05/19/2025
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