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General NPI Number Information
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NPI Number | 1083005052
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Entity Type | Organization
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Legal Business Name | BETTY BORSKY OD, PA
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 7535 WEST 4TH AVENUE
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City | HIALEAH
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State | FL
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Zip | 33014
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Country | US
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Telephone | 305-821-3832
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Fax | 305-821-5271
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Provider Business Mailing Address
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Address Line | 2016 BAY DRIVE APT 503
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City | MIAMI BEACH
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State | FL
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Zip | 33141-4421
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Country | US
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Telephone | 305-865-7990
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | BETTY BORSKY
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Credential | O.D.
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Telephone | 305-283-6989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2896
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License Number State | FL
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