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General NPI Number Information
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NPI Number | 1023454261
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Entity Type | Organization
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Legal Business Name | DREAM PHYSICIANS
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1503 SAINT GEORGES AVE STE 106
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City | COLONIA
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State | NJ
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Zip | 07067-3427
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Country | US
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Telephone | 908-388-1716
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Fax | 856-212-1214
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Provider Business Mailing Address
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Address Line | 23 MAIDA RD
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City | EDISON
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State | NJ
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Zip | 08820-2531
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Country | US
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Telephone | 732-318-0756
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Fax | 856-212-1214
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Authorized Official
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Title or Position | CEO
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Name | CHETANKUMAR KESHAVBHAI CHAUHAN
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Credential | M.D.
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Telephone | 732-318-0756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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