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General NPI Number Information
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NPI Number | 1376411017
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Entity Type | Organization
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Legal Business Name | BOHORQUES WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2328 HANCOCK BRIDGE PKWY # 114EH
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City | CAPE CORAL
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State | FL
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Zip | 33990-1459
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Country | US
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Telephone | 239-502-4281
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Fax | 786-957-2909
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Provider Business Mailing Address
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Address Line | 2328 HANCOCK BRIDGE PKWY STE 114
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City | CAPE CORAL
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State | FL
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Zip | 33990-1455
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Country | US
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Telephone | 239-502-4281
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Fax | 786-957-2909
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Authorized Official
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Title or Position | AMBR
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Name | RITA M M UGUET BOHORQUES
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Credential |
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Telephone | 239-502-4281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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