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General NPI Number Information
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NPI Number | 1033648530
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Entity Type | Organization
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Legal Business Name | BUMBLE BEE TRANSPORTATION LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 05679 COUNTY ROAD 687
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-8139
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Country | US
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Telephone | 269-637-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 203
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-0203
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Country | US
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Telephone | 269-637-8000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDY BLACK
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Credential |
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Telephone | 269-637-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State | MI
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