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General NPI Number Information
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NPI Number | 1033175815
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Entity Type | Individual
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Provider Name | FAUSTO BORIA MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | CARR 189 KM 3.5 SECTOR HERETER
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-746-3035
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Fax | 787-286-5974
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | CAGUAS
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State | PR
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Zip | 00726-0249
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Country | US
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Telephone | 787-746-3035
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Fax | 787-286-5974
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 7009
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License Number State | PR
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