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NPI Code Detail

MEDICARE: DREAMWORKS II

MEDICARE: DREAMWORKS II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyNC

General Provider Information

NPI Number : 1124207550
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAMWORKS II
Provider Business Mailing Address
First Line : PO BOX 153
Second Line :
City : DURHAM
State : NC
Zip : 27702-0153
Country : US
Telephone Number : 919-226-3180
Fax Number :
Provider Business Practice Location Address
First Line : 1802 MARTIN LUTHER KING PKWY STE 208
Second Line :
City : DURHAM
State : NC
Zip : 27707-3586
Country : US
Telephone Number : 919-226-3180
Fax Number : 919-226-3183
Authorized Official
Title or Position : DIRECTOR
Name : MS. TAMARA CRAWFORD
Credential :
Telephone Number : 919-226-3180
Provider Enumeration Date : 11/02/2007
Last Update Date : 05/09/2011

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Directions to “DREAMWORKS II ” Practice Location

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