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General NPI Number Information
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NPI Number | 1629217229
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Entity Type | Organization
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Legal Business Name | BOOM INVESTMENTS, INC.
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 7031 KOLL CENTER PKWY STE 200
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City | PLEASANTON
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State | CA
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Zip | 94566-3133
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Country | US
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Telephone | 510-627-0000
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Fax | 510-834-9700
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Provider Business Mailing Address
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Address Line | 7031 KOLL CENTER PKWY STE 200
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City | PLEASANTON
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State | CA
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Zip | 94566-3133
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Country | US
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Telephone | 510-627-0000
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Fax | 510-834-9700
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Authorized Official
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Title or Position | CEO
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Name | NATALIE PEREZ
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Credential |
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Telephone | 510-627-0000
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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 | 51015
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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