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General NPI Number Information
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NPI Number | 1205831542
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Entity Type | Individual
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Provider Name | FREDRICKA M BORLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 110 E SAVANNAH AVE BLDG A
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City | MCALLEN
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State | TX
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Zip | 78503-1241
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Country | US
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Telephone | 956-631-8155
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Fax | 956-631-8187
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Provider Business Mailing Address
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Address Line | 110 E SAVANNAH AVE BLDG A
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City | MCALLEN
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State | TX
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Zip | 78503-1241
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Country | US
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Telephone | 956-631-8155
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Fax | 956-631-8187
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E6244
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License Number State | TX
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