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General NPI Number Information
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NPI Number | 1649673559
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Entity Type | Individual
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Provider Name | ANA BORBA
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Gender | Female
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 590 W PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-3257
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Country | US
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Telephone | 559-781-3700
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Fax | 559-781-1230
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Provider Business Mailing Address
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Address Line | 19740 AVENUE 152
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City | PORTERVILLE
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State | CA
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Zip | 93257-9345
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Country | US
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Telephone | 559-782-0433
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95001111
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License Number State | CA
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