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General NPI Number Information
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NPI Number | 1821303850
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Entity Type | Organization
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Legal Business Name | BOCHE CORP
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 100 KINGS POINT DR APT 1121
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4785
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Country | US
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Telephone | 305-945-1921
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS POINT DR 1121
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4774
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Country | US
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Telephone | 305-431-8005
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSVALDO VALDES
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Credential |
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Telephone | 305-431-8005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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