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General NPI Number Information
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NPI Number | 1154406239
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Entity Type | Individual
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Provider Name | JOSEFINA BORBON MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6600 BRUCEVILLE RD KAISER PERMANENTE
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City | SACRAMENTO
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State | CA
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Zip | 95823-4671
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Country | US
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Telephone | 916-688-2535
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Fax |
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Provider Business Mailing Address
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Address Line | 11965 OLD EUREKA WAY
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City | GOLD RIVER
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State | CA
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Zip | 95670
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G56579
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License Number State | CA
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