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General NPI Number Information
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NPI Number | 1871741579
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Entity Type | Organization
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Legal Business Name | AZAEL P. BORROMEO, M.D., P..
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 2 WILLIAM TELL LN
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3785
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Country | US
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Telephone | 352-527-9555
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Fax | 352-527-2609
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Provider Business Mailing Address
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Address Line | 2 WILLIAM TELL LN
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3785
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Country | US
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Telephone | 352-527-9555
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Fax | 352-527-2609
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. AZAEL P BORROMEO
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Credential | MD
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Telephone | 352-527-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME35326
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License Number State | FL
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