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General NPI Number Information
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NPI Number | 1992688832
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Entity Type | Individual
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Provider Name | MAYA JUSTINE BORGHOL BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 121 CREEK SIDE DR
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City | SARVER
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State | PA
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Zip | 16055-1701
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Country | US
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Telephone | 412-525-1349
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN805986
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License Number State | PA
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