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General NPI Number Information
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NPI Number | 1215646633
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Entity Type | Organization
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Legal Business Name | BUNA TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 11601 BARROWS RIDGE LN
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5331
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Country | US
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Telephone | 540-287-1545
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Fax |
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Provider Business Mailing Address
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Address Line | 11601 BARROWS RIDGE LN
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5331
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Country | US
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Telephone | 540-287-1545
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. TYLER DEMETRIUS PARKER
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Credential | MS, MBA
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Telephone | 540-287-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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