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General NPI Number Information
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NPI Number | 1275883043
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Entity Type | Organization
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Legal Business Name | BAMBI LOGISTICS LLC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 17527 AVON AVE
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City | DETROIT
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State | MI
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Zip | 48219-3501
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Country | US
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Telephone | 248-469-6835
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Fax |
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Provider Business Mailing Address
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Address Line | 17527 AVON AVE
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City | DETROIT
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State | MI
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Zip | 48219-3501
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Country | US
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Telephone | 248-469-6835
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Fax |
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Authorized Official
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Title or Position | OWNER/DRIVER
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Name | PARIS THURMAN
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Credential |
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Telephone | 248-469-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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