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General NPI Number Information
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NPI Number | 1790944171
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Entity Type | Organization
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Legal Business Name | DR. BOROLE & ASSOCIATES (ALCOA), P.C.
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 228 HAMILTON CROSSING DRIVE
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City | ALCOA
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State | TN
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Zip | 37701-3211
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Country | US
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Telephone | 865-984-9691
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Fax | 216-584-1209
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Provider Business Mailing Address
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Address Line | 7160 DALLAS PKWY STE 400
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City | PLANO
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State | TX
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Zip | 75024-7111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER CREDENTIALING
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Name | RACHEL NITTINGER
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Credential |
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Telephone | 972-755-0816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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