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General NPI Number Information
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NPI Number | 1396636924
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Entity Type | Individual
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Provider Name | ALEX SERGIO BORRELLI MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | HAPPY VALLEY MEDICAL CENTER 1345 NC-268
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City | LENOIR
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State | NC
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Zip | 28645
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Country | US
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Telephone | 828-754-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 2ND AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4358
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Country | US
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Telephone | 704-874-1900
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025-01721
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License Number State | NC
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