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General NPI Number Information
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NPI Number | 1417315870
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Entity Type | Organization
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Legal Business Name | PHOENIXBIRD TRANSPORTATION INC
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 12731 ABERDEEN ST NE UNIT C
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City | BLAINE
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State | MN
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Zip | 55449-4817
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Country | US
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Telephone | 651-401-0020
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Fax | 612-205-1894
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Provider Business Mailing Address
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Address Line | 12731 ABERDEEN ST NE UNIT C
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City | BLAINE
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State | MN
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Zip | 55449-4817
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Country | US
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Telephone | 651-401-0020
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Fax | 612-205-1894
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | FOWZIA MOHAMED BIHI
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Credential |
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Telephone | 651-401-0020
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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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