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General NPI Number Information
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NPI Number | 1457623704
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Entity Type | Individual
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Provider Name | DEBORAH MONTE BORUFF PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 495 HOFFMAN LN
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3102
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Country | US
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Telephone | 631-870-5784
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Fax | 631-360-5622
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Provider Business Mailing Address
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Address Line | 495 HOFFMAN LN P.O. BOX 6006
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3102
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Country | US
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Telephone | 631-870-5784
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Fax | 631-360-5622
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 011848
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License Number State | NY
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