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General NPI Number Information
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NPI Number | 1376244137
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Entity Type | Organization
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Legal Business Name | BOOST HEALTH CARE INC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 943 CHERRY WAY
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City | HAYWARD
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State | CA
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Zip | 94541-1836
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Country | US
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Telephone | 510-626-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 943 CHERRY WAY
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City | HAYWARD
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State | CA
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Zip | 94541-1836
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Country | US
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Telephone | 510-626-7744
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NICOLE SHIH
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Credential |
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Telephone | 510-626-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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