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General NPI Number Information
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NPI Number | 1063346682
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Entity Type | Individual
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Provider Name | BORAVY TOUCH MALOY AGPCNP-BC, N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 15303 HUEBNER RD STE 6
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City | SAN ANTONIO
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State | TX
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Zip | 78248-0982
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Country | US
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Telephone | 210-530-1235
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Fax | 877-898-3208
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Provider Business Mailing Address
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Address Line | 15303 HUEBNER RD STE 6
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City | SAN ANTONIO
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State | TX
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Zip | 78248-0982
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Country | US
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Telephone | 210-530-1235
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Fax | 877-898-3208
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1232704
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1232704
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License Number State | TX
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