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General NPI Number Information
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NPI Number | 1598320590
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Entity Type | Individual
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Provider Name | GABRIEL ADAM BORISUK APRN
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Gender | Male
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 445 CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-1607
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Country | US
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Telephone | 812-273-5372
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Fax | 812-273-5741
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Provider Business Mailing Address
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Address Line | 3245 N SR 7
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City | MADISON
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State | IN
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Zip | 47250-7958
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Country | US
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Telephone |
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71009118A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71009118A
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License Number State | IN
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