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General NPI Number Information
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NPI Number | 1487286605
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Entity Type | Organization
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Legal Business Name | BAAMBOO, INC.
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 77 SANDS ST
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City | BROOKLYN
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State | NY
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Zip | 11201-1431
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Country | US
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Telephone | 703-861-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W 39TH ST APT 8E
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City | NEW YORK
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State | NY
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Zip | 10018-1784
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES WARREN REED
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Credential |
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Telephone | 703-861-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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