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General NPI Number Information
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NPI Number | 1962540112
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Entity Type | Individual
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Provider Name | ELI BORITZ MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 40 CONVENT DR BLDG 40 MSC 3022 VACCINE RESEARCH CENTER
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-496-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 13811 FLINT ROCK RD
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City | ROCKVILLE
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State | MD
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Zip | 20853-2647
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Country | US
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Telephone | 720-837-3251
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D67194
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D67194
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License Number State | MD
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