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NPI Code Detail

MEDICARE: SABIT BOJAJ MA, LAC

MEDICARE: SABIT BOJAJ MA, LAC
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
1101Y00000XCounselorLAC15698AZ

General Provider Information

NPI Number : 1457863888
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABIT BOJAJ MA, LAC
Provider Business Mailing Address
First Line : 7327 W GROVERS AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8126
Country : US
Telephone Number : 602-918-8811
Fax Number :
Provider Business Practice Location Address
First Line : 10201 S 51ST ST STE 130
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5226
Country : US
Telephone Number : 602-525-5783
Fax Number : 602-651-1244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2017
Last Update Date : 10/25/2017

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Directions to “ SABIT BOJAJ MA, LAC” Practice Location

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