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General NPI Number Information
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NPI Number | 1134768690
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Entity Type | Organization
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Legal Business Name | NEXT STEP @ WORK LLC
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 3456 FELDSPAR RD
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City | MONETA
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State | VA
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Zip | 24121-3580
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Country | US
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Telephone | 540-204-0454
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 552
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City | MONETA
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State | VA
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Zip | 24121-0552
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Country | US
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Telephone | 540-206-4039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DWAYNE DELANO DREW
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Credential | M.M.F.T., B.T.H.,
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Telephone | 540-206-4039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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