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General NPI Number Information
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NPI Number | 1790219988
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Entity Type | Organization
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Legal Business Name | SWC FAMILY CARE
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 3933 PERKIOMEN AVE SUITE 101
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City | READING
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State | PA
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Zip | 19606-2756
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Country | US
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Telephone | 610-779-4588
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Fax | 610-779-8040
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Provider Business Mailing Address
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Address Line | 3933 PERKIOMEN AVE SUITE 101
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City | READING
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State | PA
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Zip | 19606-2756
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Country | US
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Telephone | 610-779-4588
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK M BORJA
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Credential | D.C.
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Telephone | 610-779-4588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | UP006288B
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License Number State | PA
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