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General NPI Number Information
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NPI Number | 1740891225
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Entity Type | Individual
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Provider Name | KATY LAYNE BOREN MPAS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 27150 HIGHWAY 290 STE 100
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City | CYPRESS
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State | TX
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Zip | 77433-7224
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Country | US
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Telephone | 832-653-3300
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Fax | 832-653-6407
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Provider Business Mailing Address
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Address Line | 4707 EIGEL ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77007-3417
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Country | US
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Telephone | 713-960-1311
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Fax | 832-653-6407
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15024
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License Number State | TX
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