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General NPI Number Information
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NPI Number | 1699859314
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Entity Type | Individual
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Provider Name | PATRICIA L. BORMAN MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 642 ULUKAHIKI ST STE 300
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City | KAILUA
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State | HI
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Zip | 96734-4439
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Country | US
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Telephone | 808-261-4476
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Fax | 808-263-4476
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Provider Business Mailing Address
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Address Line | 642 ULUKAHIKI STREET #300
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City | KAILUA
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State | HI
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Zip | 96734-4439
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Country | US
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Telephone | 808-261-4476
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Fax | 808-263-4476
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD17866
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License Number State | HI
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