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General NPI Number Information
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NPI Number | 1124070818
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Entity Type | Individual
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Provider Name | CHRISTOPHER T BORN MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 2 DUDLEY ST STE 200
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City | PROVIDENCE
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State | RI
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Zip | 02905-3236
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Country | US
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Telephone | 401-457-1560
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Fax | 401-831-8992
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | PROVIDENCE
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State | RI
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Zip | 02901-1119
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Country | US
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Telephone | 401-457-1560
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Fax | 401-831-8992
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 11855
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License Number State | RI
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