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General NPI Number Information
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NPI Number | 1548219348
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Entity Type | Individual
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Provider Name | TOMAS BORSKY
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 154 HUGHES RD SUITE 3
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5630
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Country | US
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Telephone | 530-272-2238
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Fax | 530-272-1623
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Provider Business Mailing Address
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Address Line | 154 HUGHES RD SUITE 3
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5630
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Country | US
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Telephone | 530-272-2238
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Fax | 530-272-1623
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT9518TPA
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1432
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | D02768
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License Number State | MO
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