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General NPI Number Information
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NPI Number | 1134643919
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Entity Type | Organization
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Legal Business Name | DREAM SAVERS
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4236 TIPPERARY PL
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City | CHARLOTTE
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State | NC
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Zip | 28215-3327
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Country | US
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Telephone | 980-579-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 4236 TIPPERARY PL
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City | CHARLOTTE
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State | NC
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Zip | 28215-3327
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Country | US
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Telephone | 980-579-9415
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAKESHA SHAMISE WELCH
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Credential |
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Telephone | 980-579-9415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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