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General NPI Number Information
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NPI Number | 1487142469
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Entity Type | Organization
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Legal Business Name | USA DRIVERS GROUP INC.
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 5501 69TH ST
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City | MASPETH
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State | NY
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Zip | 11378-1806
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Country | US
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Telephone | 718-205-4872
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Fax | 718-205-9872
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Provider Business Mailing Address
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Address Line | 5501 69TH ST
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City | MASPETH
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State | NY
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Zip | 11378-1806
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Country | US
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Telephone | 718-205-4872
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Fax | 718-205-9872
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO MARTE
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Credential |
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Telephone | 646-403-2507
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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 | B03098
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License Number State | NY
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