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General NPI Number Information
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NPI Number | 1851928469
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Entity Type | Individual
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Provider Name | AMANDA JANE BORGEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 350 SAINT JOSEPHS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3255
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Country | US
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Telephone | 415-833-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 350 SAINT JOSEPHS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3255
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Country | US
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Telephone | 415-833-3870
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A186389
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | A186389
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License Number State | CA
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