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General NPI Number Information
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NPI Number | 1033428669
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Entity Type | Organization
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Legal Business Name | DREAM TEAM CONSULTING GROUP
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 1864 SAN ALVARO URB. SAN JUAN GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926-5320
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Country | US
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Telephone | 787-281-6116
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Fax | 787-281-6116
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Provider Business Mailing Address
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Address Line | 1864 CALLE SAN ALVARO URB. SAN JUAN GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926-5320
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Country | US
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Telephone | 787-281-6116
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Fax | 787-281-6116
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDGAR JERRY RENTAS
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Credential | ED.D., MBA
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Telephone | 787-403-6832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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