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General NPI Number Information
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NPI Number | 1417220062
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Entity Type | Organization
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Legal Business Name | DREAM HOUSE INC
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 6010 N SAM HOUSTON PKWY E # 706
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City | HUMBLE
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State | TX
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Zip | 77396-3273
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Country | US
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Telephone | 281-570-7534
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Fax | 832-602-2550
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Provider Business Mailing Address
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Address Line | 6010 N SAM HOUSTON PKWY E #706
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City | HUMBLE
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State | TX
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Zip | 77396-3262
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Country | US
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Telephone | 281-570-7534
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Fax | 832-602-2550
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Authorized Official
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Title or Position | OWNER
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Name | MR. MITCHELL J DYE II
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Credential |
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Telephone | 281-570-7534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000775
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License Number State | TX
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