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General NPI Number Information
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NPI Number | 1861528598
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Entity Type | Organization
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Legal Business Name | BORENSTEIN, LIPSITT, JOHNSON, MAXWELL
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 3111 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-2246
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Country | US
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Telephone | 210-732-6229
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Fax | 210-732-5350
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Provider Business Mailing Address
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Address Line | 3111 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-2246
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Country | US
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Telephone | 210-732-6229
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Fax | 210-732-5350
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. REBECCA RIZO
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Credential | D.O.
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Telephone | 210-732-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M3824
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License Number State | TX
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