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General NPI Number Information
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NPI Number | 1548266596
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Entity Type | Organization
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Legal Business Name | BOHICA, INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10631 HARWIN DR STE 606
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City | HOUSTON
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State | TX
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Zip | 77036-1535
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Country | US
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Telephone | 713-541-3722
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Fax | 713-541-3864
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Provider Business Mailing Address
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Address Line | 10631 HARWIN DR STE 606
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City | HOUSTON
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State | TX
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Zip | 77036-1535
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Country | US
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Telephone | 713-541-3722
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Fax | 713-541-3864
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Authorized Official
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Title or Position | PRES
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Name | MR. CONRAD M BOWMAN
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Credential |
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Telephone | 713-541-3722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 23440160
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License Number State | TX
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