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NPI 1417924903

NPI 1417924903 : JOSEPH BORENSTEIN M.D. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1417924903
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH BORENSTEIN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/02/2006
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    Last Update Date     |    06/05/2008
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Provider Practice Location Address
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    Address Line         |    3111 SAN PEDRO AVE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-2246
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    Country              |    US
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    Telephone            |    210-732-7141
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    Fax                  |    210-732-5350
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Provider Business Mailing Address
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    Address Line         |    3111 SAN PEDRO AVE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-2246
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    Country              |    US
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    Telephone            |    210-732-7141
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    Fax                  |    210-732-5350
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    D5920
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    License Number State |    TX
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