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General NPI Number Information
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NPI Number | 1417667890
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Entity Type | Individual
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Provider Name | CAMILA BORJA CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 2180 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1319
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Country | US
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Telephone | 415-400-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 LAKESHORE AVE APT 5
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City | OAKLAND
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State | CA
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Zip | 94606-1017
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Country | US
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Telephone | 757-784-3196
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 236329
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License Number State | CA
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