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General NPI Number Information
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NPI Number | 1902094436
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Entity Type | Organization
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Legal Business Name | MARIA I GONZALEZ-BORS
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 1162 DELANEY AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1264
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Country | US
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Telephone | 407-425-5489
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Fax |
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Provider Business Mailing Address
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Address Line | 1162 DELANEY AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1264
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Country | US
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Telephone | 407-425-5489
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Fax |
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. MARIA ISABEL GONZALEZ-BORS
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Credential | M.D.
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Telephone | 407-425-5489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME53016
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License Number State | FL
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