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General NPI Number Information
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NPI Number | 1164132841
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Entity Type | Individual
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Provider Name | DANIELLE ABBIE BORLAND APRN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 10573 BLOOMINGDALE RIDGE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-5153
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Country | US
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Telephone | 813-284-6574
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Fax | 813-284-6803
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Provider Business Mailing Address
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Address Line | 11326 LAUREL BROOK CT
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City | RIVERVIEW
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State | FL
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Zip | 33569-2023
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Country | US
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Telephone | 850-212-1501
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11020988
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | APRN11020988
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License Number State | FL
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