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General NPI Number Information
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NPI Number | 1346342037
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Entity Type | Organization
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Legal Business Name | PIECES OF A DREAM, INC
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 1923 GREY FALCON CIRCLE SW
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City | VERO BEACH
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State | FL
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Zip | 32962-2612
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Country | US
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Telephone | 772-532-6289
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Fax | 772-675-1881
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Provider Business Mailing Address
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Address Line | 1923 GREY FALCON CIR SW
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City | VERO BEACH
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State | FL
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Zip | 32962-8609
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Country | US
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Telephone | 772-532-6289
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Fax | 772-562-3018
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TRACEY MCKINNEY
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Credential |
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Telephone | 772-532-6289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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