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General NPI Number Information
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NPI Number | 1821881582
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Entity Type | Individual
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Provider Name | MARY ELIZABETH BORING
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Gender |
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 311 HEATHERMOOR DR APT 10
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City | WEIRTON
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State | WV
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Zip | 26062-4289
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Country | US
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Telephone | 304-479-3746
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Fax |
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Provider Business Mailing Address
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Address Line | 143 LISA CT APT 10
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City | WEIRTON
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State | WV
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Zip | 26062-9635
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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 |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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