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General NPI Number Information
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NPI Number | 1548052996
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Entity Type | Organization
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Legal Business Name | BORER MD PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1310 WONDER WORLD DR STE 115
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City | SAN MARCOS
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State | TX
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Zip | 78666-8351
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Country | US
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Telephone | 512-878-4203
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Fax | 512-878-4209
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Provider Business Mailing Address
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Address Line | 1310 WONDER WORLD DR STE 115
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City | SAN MARCOS
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State | TX
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Zip | 78666-8351
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Country | US
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Telephone | 512-878-4203
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Fax | 512-878-4209
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Authorized Official
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Title or Position | OWNER
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Name | DRAKE BORER
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Credential | MD
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Telephone | 512-878-4203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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