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General NPI Number Information
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NPI Number | 1871758557
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Entity Type | Organization
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Legal Business Name | BOSCH ENTERPRISES, INC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 2021 CHURCH ST SUITE 102
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City | NASHVILLE
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State | TN
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Zip | 37203-2021
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Country | US
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Telephone | 615-479-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 204 BELLMORE AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-3169
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Country | US
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Telephone | 615-479-9880
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MRS. ELIZABETH A BOSCH
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Credential | LMT
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Telephone | 615-289-4026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0000002383
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License Number State | TN
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