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General NPI Number Information
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NPI Number | 1861356966
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Entity Type | Individual
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Provider Name | DR. CARLOS JAVIER BORRERO SR.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 541 N FAIRBANKS CT
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City | CHICAGO
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State | IL
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Zip | 60611-3319
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Country | US
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Telephone | 787-356-7043
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Fax |
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Provider Business Mailing Address
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Address Line | 845 N STATE ST UNIT 1110
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City | CHICAGO
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State | IL
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Zip | 60610-3324
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Country | US
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Telephone | 787-356-7043
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1153
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License Number State | PR
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