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General NPI Number Information
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NPI Number | 1184931396
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Entity Type | Individual
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Provider Name | BORGIUN BRIDGETT LIN RPH
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Gender | Female
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 8601 BALTIMORE NATIONAL PIKE
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-4176
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Country | US
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Telephone | 410-480-1377
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Fax | 410-480-3927
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Provider Business Mailing Address
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Address Line | 6924 SANDY CREEK CT
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1747
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Country | US
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Telephone | 410-531-6468
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14251
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License Number State | MD
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