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General NPI Number Information
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NPI Number | 1487982922
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Entity Type | Organization
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Legal Business Name | BOBCHI INVERCIONES L.L.C.
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 3628 SHADY RIDGE RD
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City | JACKSON
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State | MI
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Zip | 49201-9352
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Country | US
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Telephone | 517-962-5851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone | 517-676-9788
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Fax |
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Authorized Official
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Title or Position | DIAGNOSTIC MEDICAL SONOGRAPHER
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Name | ROBERT KENT MCCONNELL
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Credential | R.D.M.S.
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Telephone | 517-962-5851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 99618
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License Number State | MI
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