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General NPI Number Information
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NPI Number | 1659979318
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Entity Type | Organization
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Legal Business Name | THE DRIVERS COOPERATIVE, INC.
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 2400 DAVIDSON AVE APT A23
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City | BRONX
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State | NY
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Zip | 10468-6309
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Country | US
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Telephone | 212-707-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 DAVIDSON AVE APT A23
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City | BRONX
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State | NY
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Zip | 10468-6309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIK FORMAN
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Credential |
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Telephone | 212-707-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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