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General NPI Number Information
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NPI Number | 1992744684
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Entity Type | Individual
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Provider Name | AARON E BOORSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 1170 E HALLANDALE BEACH BLVD 1170C
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4432
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Country | US
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Telephone | 954-458-1940
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Fax | 954-458-1946
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Provider Business Mailing Address
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Address Line | 13006 MOREHEAD
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8448
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Country | US
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Telephone | 919-606-4760
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Fax | 919-933-9665
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME23069
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License Number State | FL
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