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Individual
DR. THOMAS BOSCH
Active
Individual
DR. THOMAS BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, RDN, LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
10177915
OR
133NN1002X
Nutrition Education Nutritionist
10177915
OR
133V00000X
Registered Dietitian
Primary
10177915
OR
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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