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General NPI Number Information
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NPI Number | 1700768686
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Entity Type | Individual
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Provider Name | ZOE BOGER
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 340 NW 5TH ST STE 101
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City | REDMOND
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State | OR
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Zip | 97756-1869
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Country | US
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Telephone | 541-526-6635
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Fax |
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Provider Business Mailing Address
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Address Line | 151 SW ROOSEVELT AVE # A
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City | BEND
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State | OR
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Zip | 97702-1427
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Country | US
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Telephone | 404-520-1461
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-319533
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License Number State | OR
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