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General NPI Number Information
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NPI Number | 1235607128
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Entity Type | Organization
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Legal Business Name | DREAM IN DEL MAR, INC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 1349 CAMINO DEL MAR STE F
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City | DEL MAR
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State | CA
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Zip | 92014-2553
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Country | US
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Telephone | 858-755-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 CAMINO DEL MAR STE F
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City | DEL MAR
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State | CA
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Zip | 92014-2553
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Country | US
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Telephone | 858-755-1166
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN SILVA
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Credential |
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Telephone | 858-755-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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