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General NPI Number Information
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NPI Number | 1558033803
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Entity Type | Organization
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Legal Business Name | ABLE TO DREAM INC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1375 GATEWAY BLVD STE VO548
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 305-890-2449
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Fax | 844-829-2617
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Provider Business Mailing Address
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Address Line | 1375 GATEWAY BLVD STE VO548
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 305-890-2449
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Fax | 844-829-2617
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL MCKENZIE-PLEZ
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Credential |
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Telephone | 305-890-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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