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General NPI Number Information
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NPI Number | 1144939117
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Entity Type | Organization
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Legal Business Name | REALIZING EVERY DREAM SUPPORT SERVICES
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1821 SUMMIT RD
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City | CINCINNATI
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State | OH
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Zip | 45237-2822
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Country | US
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Telephone | 513-780-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 SUMMIT RD STE 216
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City | CINCINNATI
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State | OH
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Zip | 45237-2819
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Country | US
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Telephone | 513-780-5747
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARMEN BERRY
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Credential |
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Telephone | 513-913-8095
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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