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General NPI Number Information
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NPI Number | 1366095473
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Entity Type | Organization
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Legal Business Name | BOJOHOME, INC.
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 5360 JACKSON DR SUITE 120
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City | LA MESA
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State | CA
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Zip | 91942
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Country | US
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Telephone | 619-460-6222
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Fax | 619-741-2344
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Provider Business Mailing Address
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Address Line | 5360 JACKSON DR SUITE 120
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City | LA MESA
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State | CA
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Zip | 91942
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Country | US
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Telephone | 619-460-6222
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Fax | 619-741-2344
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LESLIE DIANE BOJORQUEZ
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Credential |
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Telephone | 619-460-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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