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General NPI Number Information
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NPI Number | 1154406858
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Entity Type | Organization
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Legal Business Name | B.O.S.S., INCORPORATED
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 ENCINO PL NE SUITE A-16
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2612
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Country | US
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Telephone | 505-248-1338
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Fax | 505-244-3857
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Provider Business Mailing Address
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Address Line | 801 ENCINO PL NE SUITE A-16
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2612
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Country | US
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Telephone | 505-248-1338
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Fax | 505-244-3857
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HENRY JOSEPH DREES JR.
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Credential | OTC
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Telephone | 505-248-1338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 96-0642OTC
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License Number State | NM
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