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General NPI Number Information
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NPI Number | 1063591675
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Entity Type | Organization
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Legal Business Name | BORIS KAIM, MD PA
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 2311 N MESA ST STE F
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City | EL PASO
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State | TX
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Zip | 79902-3575
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Country | US
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Telephone | 915-544-6400
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Fax | 915-544-2836
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Provider Business Mailing Address
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Address Line | 2311 N MESA ST STE F
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City | EL PASO
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State | TX
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Zip | 79902-3575
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Country | US
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Telephone | 915-444-6400
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Fax | 915-544-2836
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BORIS KAIM
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Credential | M.D.
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Telephone | 915-544-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TEMPORARY
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License Number State | TX
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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 | E6448
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License Number State | TX
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