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General NPI Number Information
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NPI Number | 1124837935
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Entity Type | Individual
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Provider Name | ISSETTE BORREGO RN
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 411 S 21ST AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5013
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Country | US
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Telephone | 786-299-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 HARBOR ISLAND DR # A1413
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4281
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Country | US
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Telephone | 305-308-2113
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Fax |
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | RN9299397
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License Number State | FL
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