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General NPI Number Information
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NPI Number | 1598785073
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Entity Type | Individual
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Provider Name | BORA OZGULER MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 16510 PRETTY LAKE RD SUITE 106
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City | PLYMOUTH
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State | IN
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Zip | 46563-8264
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Country | US
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Telephone | 814-691-7206
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Fax | 574-935-2221
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Provider Business Mailing Address
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Address Line | 16510 PRETTY LAKE RD
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City | PLYMOUTH
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State | IN
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Zip | 46563-8264
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Country | US
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Telephone | 814-691-7206
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35429
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD446963
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD195991
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License Number State | OR
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