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General NPI Number Information
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NPI Number | 1326640038
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Entity Type | Individual
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Provider Name | ELDENA BOROVINA PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 3910 CAUGHEY RD STE 150
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City | ERIE
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State | PA
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Zip | 16506-4041
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Country | US
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Telephone | 814-877-5400
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Fax | 814-877-5401
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Provider Business Mailing Address
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Address Line | 3910 CAUGHEY RD STE 150
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City | ERIE
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State | PA
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Zip | 16506-4041
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Country | US
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Telephone | 814-877-5401
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Fax | 814-877-5400
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA062028
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License Number State | PA
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