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General NPI Number Information
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NPI Number | 1033162912
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Entity Type | Individual
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Provider Name | HARRIET BETH BOROFSKY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 100 S SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-3805
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Country | US
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Telephone | 650-696-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 500 REDWOOD BLVD STE 300
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City | NOVATO
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State | CA
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Zip | 94947-6921
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Country | US
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Telephone | 415-884-3415
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Fax | 415-883-0877
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G689150
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License Number State | CA
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