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NPI Code Detail

MEDICARE: MR. WILLIAM J BOZLEE RN

MEDICARE: MR. WILLIAM J BOZLEE RN
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
1163WC1500XCommunity Health Registered Nurse751364CA

General Provider Information

NPI Number : 1134612930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM J BOZLEE RN
Provider Business Mailing Address
First Line : 24525 TOWN CENTER DR
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1328
Country : US
Telephone Number : 661-200-2300
Fax Number : 661-200-2308
Provider Business Practice Location Address
First Line : 24525 TOWN CENTER DR
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1328
Country : US
Telephone Number : 661-200-2300
Fax Number : 661-200-2308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 06/07/2018

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