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General NPI Number Information
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NPI Number | 1013166255
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Entity Type | Organization
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Legal Business Name | CZARINA SANTOS-BORJA MD PA
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 7600 OSLER DR SUITE 305
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City | TOWSON
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State | MD
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Zip | 21204-7735
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Country | US
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Telephone | 443-857-3357
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Fax |
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Provider Business Mailing Address
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Address Line | 9307 GEORGIA BELLE DR
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City | PERRY HALL
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State | MD
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Zip | 21128-8817
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Country | US
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Telephone | 443-857-3357
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | DR. CZARINA SANTOS-BORJA
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Credential | MD
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Telephone | 443-857-3357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0055978
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License Number State | MD
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