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General NPI Number Information
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NPI Number | 1326974429
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Entity Type | Organization
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Legal Business Name | PREMIER DRIVING ACADEMY, LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 1389 N CEDARBROOK AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65802-6803
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Country | US
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Telephone | 417-890-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 2373 SHERON DR
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City | NIXA
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State | MO
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Zip | 65714-6100
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Country | US
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Telephone | 417-501-4464
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Fax | 866-591-9533
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES TODD VERMILLION
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Credential |
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Telephone | 417-501-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapist
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License Number |
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License Number State |
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