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General NPI Number Information
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NPI Number | 1164391843
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Entity Type | Organization
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Legal Business Name | DREAM ACHIEVERS RESOURCE AND DEVELOPMENT CENTER INC
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 225 LINCOLN AVE STE 555
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City | LAKE WALES
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State | FL
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Zip | 33853-3546
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Country | US
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Telephone | 863-345-2029
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55
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City | LAKE WALES
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State | FL
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Zip | 33859-0055
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Country | US
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Telephone | 863-345-2029
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Fax |
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Authorized Official
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Title or Position | PRESIDENT EXECUTIVE DIRECTOR
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Name | MICHELLE MARTIN
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Credential |
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Telephone | 863-331-7894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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