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General NPI Number Information
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NPI Number | 1013075969
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Entity Type | Individual
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Provider Name | CORY ALLEN BORER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 454 MCQUEEN SMITH RD S
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City | PRATTVILLE
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State | AL
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Zip | 36066-5631
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Country | US
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Telephone | 334-380-9170
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Fax | 334-380-9172
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Provider Business Mailing Address
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Address Line | 454 MCQUEEN SMITH RD S
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City | PRATTVILLE
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State | AL
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Zip | 36066-5631
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Country | US
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Telephone | 334-380-9170
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Fax | 334-380-9172
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8020
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D.6876-C
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License Number State | AL
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