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NPI Code Detail

MEDICARE: THOMAS BOSEMAN HHA

MEDICARE: THOMAS BOSEMAN HHA
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1801162516
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS BOSEMAN HHA
Provider Business Mailing Address
First Line : 1021 ARLINGTON BLVD
Second Line : APT 5
City : ARLINGTON
State : VA
Zip : 22209-3926
Country : US
Telephone Number : 202-600-6917
Fax Number :
Provider Business Practice Location Address
First Line : 1707 L ST NW
Second Line : SUITE 900
City : WASHINGTON
State : DC
Zip : 20036-4201
Country : US
Telephone Number : 202-829-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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Directions to “ THOMAS BOSEMAN HHA” Practice Location

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