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General NPI Number Information
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NPI Number | 1679629414
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Entity Type | Individual
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Provider Name | RAFAEL BARTHOLOMEW BORRAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 507 LENOX AVENUE MLKBUILDING 16TH FLOOR NEUROLOGY HARLEM HOSPITAL CENTER
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City | NEW YORK
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State | NY
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Zip | 10037
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Country | US
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Telephone | 212-939-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 320 RIVERSIDE DRIVE APT 6B
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-749-0191
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 116534
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License Number State | NY
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