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General NPI Number Information
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NPI Number | 1508295627
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Entity Type | Individual
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Provider Name | ROSEANNA INEZ BORST RPH
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 1100 HANSEL AVE
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City | FLORENCE
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State | KY
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Zip | 41042-4869
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Country | US
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Telephone | 859-371-2245
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Fax |
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Provider Business Mailing Address
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Address Line | 12940 PAVILION CT
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City | UNION
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State | KY
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Zip | 41091-7107
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Country | US
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Telephone | 859-384-1821
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03331477
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 012238
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28164
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License Number State | TX
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