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General NPI Number Information
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NPI Number | 1003137456
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Entity Type | Organization
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Legal Business Name | TWIN DREAMS LLC
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 10660 OLD SAINT AUGUSTINE RD APT 402
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1057
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Country | US
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Telephone | 904-896-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 10660 OLD SAINT AUGUSTINE RD APT 402
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1057
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Country | US
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Telephone | 904-896-0346
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Fax |
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Authorized Official
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Title or Position | OWNEER
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Name | DR. MARGERY H RUNYAN
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Credential | PHD, LCSW
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Telephone | 970-946-0992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8844
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License Number State | FL
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