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General NPI Number Information
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NPI Number | 1487811576
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Entity Type | Individual
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Provider Name | CHRISTOPHER WILLIAM BORSELLINO MS CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 05/18/2008
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 330 E WARM SPRINGS RD STE 122
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City | LAS VEGAS
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State | NV
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Zip | 89119-4281
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Country | US
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Telephone | 702-979-4268
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Fax | 702-979-1336
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Provider Business Mailing Address
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Address Line | 330 E WARM SPRINGS RD STE 122
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City | LAS VEGAS
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State | NV
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Zip | 89119-4281
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Country | US
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Telephone | 725-255-5321
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Fax | 702-255-5323
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-1142
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License Number State | NV
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