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General NPI Number Information
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NPI Number | 1447616610
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Entity Type | Organization
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Legal Business Name | A - SAFER DRIVER, INC.
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 533 AIRPORT BLVD SUITE 430
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City | BURLINGAME
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State | CA
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Zip | 94010-2018
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Country | US
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Telephone | 415-336-8916
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Fax |
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Provider Business Mailing Address
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Address Line | 533 AIRPORT BLVD SUITE 430
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City | BURLINGAME
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State | CA
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Zip | 94010-2018
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Country | US
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Telephone | 650-373-2020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DERRICK PAUL SCOTT
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Credential | LI, CDRS
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Telephone | 415-336-8916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | L2DRIVE
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License Number State | CA
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