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NPI 1093629230

NPI 1093629230 : DREAM HUMAN SERVICES FOUNDATION CORPORATION : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1093629230
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAM HUMAN SERVICES FOUNDATION CORPORATION 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    10000 STIRLING RD STE 2 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33024-8067
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    Country              |    US
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    Telephone            |    407-601-6545
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    Fax                  |    407-203-6045
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Provider Business Mailing Address
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    Address Line         |    10000 STIRLING RD STE 2 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33024-8067
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    Country              |    US
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    Telephone            |    407-601-6545
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    Fax                  |    407-203-6045
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Authorized Official
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    Title or Position    |    BOARD MEMBER
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    Name                 |     JOSE ENRIQUE YANES PADILLA 
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    Credential           |    
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    Telephone            |    407-601-6545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    NULL
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