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General NPI Number Information
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NPI Number | 1194405837
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Entity Type | Individual
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Provider Name | KRISTINA RENEE BORCKY MSN, FNP-C, OCN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 421 E MAIN ST STE 6
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1463
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Country | US
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Telephone | 23-765-8303
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Fax | 302-376-6517
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Provider Business Mailing Address
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Address Line | 345 HELEN DR
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City | TOWNSEND
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State | DE
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Zip | 19734-2407
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Country | US
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Telephone | 302-668-6599
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012380
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License Number State | DE
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