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General NPI Number Information
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NPI Number | 1295967909
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Entity Type | Organization
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Legal Business Name | DREAMS2REALITY, INC
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 410 GARFIELD ST
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City | STATESVILLE
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State | NC
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Zip | 28677-6142
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Country | US
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Telephone | 704-622-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 9118 FOGGY MEADOW RD
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City | CHARLOTTE
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State | NC
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Zip | 28269-1551
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Country | US
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Telephone |
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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. JAMES CALVIN SMITH
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Credential |
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Telephone | 704-968-6049
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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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