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General NPI Number Information
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NPI Number | 1346130135
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Entity Type | Individual
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Provider Name | BROOKLYN LORENE BORDANO MSN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2088
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Country | US
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Telephone | 214-820-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 7207 GASTON AVE APT 1003
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City | DALLAS
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State | TX
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Zip | 75214-4183
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Country | US
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Telephone | 210-249-8072
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 00000000
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License Number State | TX
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