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NPI 1801990296

NPI 1801990296 : ROBERT NEIL BORKOWSKI D.D.S., M.S. : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1801990296
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT NEIL BORKOWSKI D.D.S., M.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/07/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2440 N JOSEY LN SUITE 201
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-1668
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    Country              |    US
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    Telephone            |    972-242-8487
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    Fax                  |    972-446-0450
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Provider Business Mailing Address
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    Address Line         |    2440 N JOSEY LN SUITE 201
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-1668
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    Country              |    US
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    Telephone            |    972-242-8487
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    Fax                  |    972-446-0450
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    18993
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    License Number State |    TX
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