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General NPI Number Information
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NPI Number | 1417565227
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Entity Type | Individual
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Provider Name | MICHELLE RENEE BORLAND DNP, APRN, FNP-C, CN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 6040 UNIVERSITY TOWN CENTRE DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-2421
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Country | US
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Telephone | 304-581-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 56 HERITAGE HILLS RD
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City | UNIONTOWN
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State | PA
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Zip | 15401-5631
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Country | US
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Telephone | 724-984-5490
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 106897
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License Number State | WV
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