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General NPI Number Information
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NPI Number | 1194322024
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Entity Type | Organization
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Legal Business Name | DAY DREAM HOME CARE
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 501 SOUTH KIRKMAN ROAD 616145
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City | ORLANDO
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State | FL
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Zip | 32861-3286
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Country | US
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Telephone | 904-525-7149
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616145
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City | ORLANDO
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State | FL
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Zip | 32861-6145
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Country | US
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Telephone | 904-525-7149
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDY CILLIAC
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Credential |
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Telephone | 904-525-7149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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