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General NPI Number Information
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NPI Number | 1720676703
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Entity Type | Individual
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Provider Name | KIMBERLY CLAIRE BORRELLI HAS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 6906 W LINEBAUGH AVE STE 101
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City | TAMPA
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State | FL
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Zip | 33625-5830
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Country | US
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Telephone | 813-962-1888
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Fax | 813-369-5337
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Provider Business Mailing Address
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Address Line | 12028 CITRUS FALLS CIR APT 208
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City | TAMPA
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State | FL
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Zip | 33625-5725
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Country | US
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Telephone | 803-645-7072
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5800
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License Number State | FL
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