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General NPI Number Information
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NPI Number | 1285203737
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Entity Type | Individual
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Provider Name | BORKA KALANJ
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Gender | Female
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Dates
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Enumeration Date | 06/20/2021
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Last Update Date | 06/20/2021
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Provider Practice Location Address
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Address Line | 1426 PALM GRASS PASS
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City | WAUNAKEE
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State | WI
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Zip | 53597-2374
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Country | US
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Telephone | 608-821-6356
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Fax |
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Provider Business Mailing Address
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Address Line | 11 S GARDENS WAY
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City | FITCHBURG
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State | WI
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Zip | 53711-7675
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Country | US
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Telephone | 608-320-9540
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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