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General NPI Number Information
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NPI Number | 1912703802
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Entity Type | Organization
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Legal Business Name | BOORA PODIATRY PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 130 HEMPSTEAD AVE APT 426
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2168
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Country | US
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Telephone | 929-442-1258
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Fax |
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Provider Business Mailing Address
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Address Line | 130 HEMPSTEAD AVE APT 426
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2168
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Country | US
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Telephone | 929-442-1258
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUPINDER KAUR BOORA
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Credential | DPM
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Telephone | 929-442-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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