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General NPI Number Information
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NPI Number | 1497803308
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Entity Type | Individual
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Provider Name | PATRICIA A. BORST NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1101 PROFESSIONAL BLVD STE 100
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City | EVANSVILLE
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State | IN
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Zip | 47714-8018
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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Provider Business Mailing Address
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Address Line | 1101 PROFESSIONAL BLVD STE 100
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City | EVANSVILLE
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State | IN
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Zip | 47714-8018
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 71000377A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000377A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71000377A
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License Number State | IN
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