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NPI Code Detail

MEDICARE: VALERIE BOSEMAN

MEDICARE:   VALERIE  BOSEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion

General Provider Information

NPI Number : 1073100780
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE BOSEMAN
Provider Business Mailing Address
First Line : 6466 WELTON ST APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-1157
Country : US
Telephone Number : 513-954-1221
Fax Number :
Provider Business Practice Location Address
First Line : 6466 WELTON ST APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-1157
Country : US
Telephone Number : 513-954-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ VALERIE BOSEMAN ” Practice Location

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