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General NPI Number Information
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NPI Number | 1043312580
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER J. BOHACH DPM, INC.
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 240 W WALTON ST SUITE B
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City | WILLARD
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State | OH
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Zip | 44890-9155
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Country | US
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Telephone | 419-935-3003
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Fax | 419-933-3008
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Provider Business Mailing Address
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Address Line | 240 W WALTON ST SUITE B
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City | WILLARD
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State | OH
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Zip | 44890-9155
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Country | US
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Telephone | 419-935-3003
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Fax | 419-933-3008
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS BOHACH
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Credential | DPM
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Telephone | 419-935-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | OH2773
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License Number State | OH
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