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NPI 1497139281

NPI 1497139281 : BABYBUMPERS : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1497139281
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    Entity Type          |    Organization 
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    Legal Business Name  |    BABYBUMPERS 
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Dates
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    Enumeration Date     |    07/13/2015
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    Last Update Date     |    07/13/2015
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Provider Practice Location Address
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    Address Line         |    29600 PICKFORD ST 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152-3464
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    Country              |    US
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    Telephone            |    313-617-5228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    29600 PICKFORD ST 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152-3464
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    Country              |    US
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    Telephone            |    313-617-5228
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JAMES  BRANCH 
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    Credential           |    
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    Telephone            |    313-617-5228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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