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General NPI Number Information
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NPI Number | 1033353081
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Entity Type | Individual
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Provider Name | SAMIP JAYANTILAL BORAD M.B.B.S., MD, MHA
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Gender | Male
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 755 STIRLING CENTER PL
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City | LAKE MARY
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State | FL
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Zip | 32746-5714
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Country | US
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Telephone | 407-333-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 755 STIRLING CENTER PL
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City | LAKE MARY
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State | FL
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Zip | 32746-5714
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Country | US
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Telephone | 407-333-1718
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Fax | 407-333-1633
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116022715
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25730
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME155726
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License Number State | FL
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