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General NPI Number Information
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NPI Number | 1427878735
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Entity Type | Organization
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Legal Business Name | DREAM GUARDIANS HOME CARE
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 529 N GROSS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-4142
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Country | US
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Telephone | 267-616-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 5654 CARPENTER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2804
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Country | US
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Telephone | 267-616-1634
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BIANCA CARTER
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Credential |
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Telephone | 267-616-1634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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