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General NPI Number Information
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NPI Number | 1891472437
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Entity Type | Organization
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Legal Business Name | DENISE BORAS APRN, LLC
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 315 FLANDERS RD
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City | EAST LYME
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State | CT
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Zip | 06333-1711
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Country | US
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Telephone | 860-705-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 6 FERRO DR
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City | EAST LYME
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State | CT
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Zip | 06333-1514
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Country | US
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Telephone | 860-705-2370
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MRS. DENISE ELIZABETH BORAS
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Credential | APRN
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Telephone | 860-705-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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