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General NPI Number Information
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NPI Number | 1194847590
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Entity Type | Individual
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Provider Name | JAMIE THERESA BORGHI P.T.A.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11730 MILLBROOK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-3618
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Country | US
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Telephone | 941-993-6109
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Fax |
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Provider Business Mailing Address
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Address Line | 11409 HAWICK PL
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-7908
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Country | US
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Telephone | 941-993-6109
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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 | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | PTA20221
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License Number State | FL
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