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General NPI Number Information
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NPI Number | 1992875900
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Entity Type | Individual
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Provider Name | BRIAN SCOTT BORER
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 220 TRIANGLE ROAD SUITE 240
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 908-369-8850
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Fax | 908-369-8895
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Provider Business Mailing Address
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Address Line | PO BOX 310
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City | THREE BRIDGES
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State | NJ
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Zip | 08887-0310
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Country | US
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Telephone | 908-806-2645
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Fax | 908-806-5228
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00902700
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License Number State | NJ
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