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General NPI Number Information
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NPI Number | 1588095145
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Entity Type | Individual
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Provider Name | EMILY M BORKOVEC PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1905 BLAKE AVE STE 101
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4206
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Country | US
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Telephone | 970-945-2840
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Fax | 970-945-9581
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Provider Business Mailing Address
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Address Line | 2700 GILSTRAP CT 230
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-8735
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Country | US
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Telephone | 970-945-2840
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Fax | 970-945-9581
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0003822
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License Number State | CO
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