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General NPI Number Information
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NPI Number | 1124209150
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Entity Type | Organization
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Legal Business Name | BROTHERS & DREAMS CORPORATION
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 7592 S US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-1450
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Country | US
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Telephone | 772-878-2057
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Fax | 772-878-2058
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Provider Business Mailing Address
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Address Line | 7592 S US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-1450
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Country | US
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Telephone | 772-878-2057
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Fax | 772-878-2058
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. OSWALDO HERRERA
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Credential |
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Telephone | 772-878-2057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | FL
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