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General NPI Number Information
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NPI Number | 1790745156
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Entity Type | Individual
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Provider Name | ANNA KUBICZ BOROWIK MSPT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 652 GRANDVIEW AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-2437
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Country | US
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Telephone | 718-418-6817
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Fax | 718-418-4242
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Provider Business Mailing Address
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Address Line | 15 STRAIGHT PATH
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City | ROCK HILL
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State | NY
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Zip | 12775-6516
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Country | US
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Telephone | 718-418-6817
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Fax | 718-418-4242
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 013559-1
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License Number State | NY
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