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General NPI Number Information
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NPI Number | 1548567803
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Entity Type | Organization
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Legal Business Name | ROBERT E. BORSON DPM PC
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 2349 COOLIDGE HWY
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City | BERKLEY
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State | MI
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Zip | 48072-1550
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Country | US
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Telephone | 248-399-1936
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Fax | 248-399-9286
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Provider Business Mailing Address
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Address Line | 2349 COOLIDGE HWY
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City | BERKLEY
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State | MI
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Zip | 48072-1550
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Country | US
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Telephone | 248-399-1936
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Fax | 248-399-9286
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ROBERT BORSON
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Credential | DPM
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Telephone | 248-399-1936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901000957
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License Number State | MI
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