# BOHEME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689057655
- **Authorized official:** DR. TANYA PHARES D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (775) 800-1724

## Contact information

- **Practice address:** 1100 CAUGHLIN XING, RENO, NV 89519-0613
- **Practice address phone:** (775) 800-1724
- **Practice address fax:** (775) 800-1725
- **Mailing address:** 1100 CAUGHLIN XING, RENO, NV 89519-0613
- **Mailing address phone:** (775) 800-1724
- **Mailing address fax:** (775) 800-1725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 07/08/2015