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General NPI Number Information
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NPI Number | 1942170147
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Entity Type | Individual
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Provider Name | MATTHEW LIAM BORODITSKY MD
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Gender | Male
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 899 WEST 12TH AVENUE 2ND FLOOR, JIM PATTISON PAVILION
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City | VANCOUVER
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State | BC
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Zip | V5Z 1M9
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Country | CA
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 ONTARIO ST 902
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City | VANCOUVER
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State | BC
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Zip | V5Y 0C3
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Country | CA
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 46149
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License Number State | CA
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