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General NPI Number Information
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NPI Number | 1174593107
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Entity Type | Individual
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Provider Name | ELIZABETH MYRA BORGER ARNP CNM
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1030 E LAFAYETTE ST SUITE: 4
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City | TALLAHASSEE
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State | FL
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Zip | 32301-4579
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Country | US
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Telephone | 850-583-2696
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Fax | 850-792-6043
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Provider Business Mailing Address
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Address Line | 1030 E LAFAYETTE ST SUITE: 4
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City | TALLAHASSEE
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State | FL
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Zip | 32301-4579
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Country | US
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Telephone | 850-583-2696
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Fax | 850-792-6043
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | ARNP2772732
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP2772732
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License Number State | FL
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