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General NPI Number Information
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NPI Number | 1619168119
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Entity Type | Organization
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Legal Business Name | JAMES BORBOTSINA, DDS
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 1361 ELM ST STE 202
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City | MANCHESTER
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State | NH
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Zip | 03101-1323
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Country | US
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Telephone | 603-668-6360
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Fax |
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Provider Business Mailing Address
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Address Line | 1361 ELM ST STE 202
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City | MANCHESTER
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State | NH
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Zip | 03101-1323
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Country | US
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Telephone | 603-668-6360
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Fax |
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Authorized Official
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Title or Position | OWNER/DDS
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Name | DR. JAMES BORBOTSINA
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Credential |
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Telephone | 603-644-7869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1442
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License Number State | NH
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