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General NPI Number Information
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NPI Number | 1548802853
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Entity Type | Individual
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Provider Name | FREDDIE BORIA SR.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 100 CARR. 165 CENTRO INTERNACIONAL DE MERCADEO SUITE 409
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-359-3749
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Fax | 787-277-0064
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Provider Business Mailing Address
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Address Line | URB. EL CORTIJO CALLE 16 N-2
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-359-3749
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Fax | 787-277-0064
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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