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General NPI Number Information
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NPI Number | 1770356776
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Entity Type | Organization
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Legal Business Name | DRIVE SAFE DOT EXAMS, LLC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 27 WATER ST STE 102B
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City | WAKEFIELD
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State | MA
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Zip | 01880-3038
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Country | US
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Telephone | 781-587-2974
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Fax |
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Provider Business Mailing Address
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Address Line | 27 WATER ST STE 102B
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City | WAKEFIELD
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State | MA
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Zip | 01880-3038
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Country | US
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Telephone | 781-587-2974
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BERRY MCEDRISS
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Credential | NP
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Telephone | 781-587-2974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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