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General NPI Number Information
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NPI Number | 1982861290
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Entity Type | Individual
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Provider Name | MELISSA BORRERO MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 2024 CRESTON AVE
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City | BRONX
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State | NY
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Zip | 10453-4244
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Country | US
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Telephone | 718-294-6200
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Fax | 718-294-6259
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Provider Business Mailing Address
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Address Line | 6060 RIDGE AVE STE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1659
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Country | US
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Telephone | 718-294-6200
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Fax | 718-294-6259
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD451155
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License Number State | PA
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