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NPI 1033532726

NPI 1033532726 : CENTER OF DREAMS : OCOEE, FL

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General NPI Number Information
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    NPI Number           |    1033532726
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER OF DREAMS 
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Dates
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    Enumeration Date     |    01/30/2014
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    Last Update Date     |    01/30/2014
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Provider Practice Location Address
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    Address Line         |    2755 PYTHAGORAS CIR 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-4477
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    Country              |    US
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    Telephone            |    850-591-6055
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2755 PYTHAGORAS CIR 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-4477
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     DELORES DANIELLE MILLS 
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    Credential           |    
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    Telephone            |    850-591-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3140N1450X
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    Taxonomy Name        |    Pediatric Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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