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General NPI Number Information
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NPI Number | 1316524788
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Entity Type | Individual
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Provider Name | DARIAN BORCHERS PAC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 600 AVIATOR CT STE 250
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City | VANDALIA
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State | OH
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Zip | 45377-9476
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Country | US
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Telephone | 937-223-4900
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Fax | 937-223-4420
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.006867RX
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License Number State | OH
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