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General NPI Number Information
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NPI Number | 1407813249
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Entity Type | Individual
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Provider Name | LAURA SALZANO BORGOS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 1676 SUNSET AVE BREAST CARE CENTER
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City | UTICA
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State | NY
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Zip | 13502-5416
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Country | US
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Telephone | 315-624-5764
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Fax | 315-801-8391
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Provider Business Mailing Address
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Address Line | 1676 SUNSET AVE BREAST CARE CENTER
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City | UTICA
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State | NY
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Zip | 13502-5416
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Country | US
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Telephone | 315-624-5764
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Fax | 315-801-8391
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 282038
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License Number State | NY
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