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NPI 1578452959

NPI 1578452959 : DREAM BIGGER ABA TX LLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1578452959
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAM BIGGER ABA TX LLC 
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Dates
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    Enumeration Date     |    07/01/2025
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    Last Update Date     |    07/01/2025
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Provider Practice Location Address
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    Address Line         |    12830 HILLCREST RD STE 111 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-1547
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    Country              |    US
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    Telephone            |    347-218-1207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1474 E 31ST ST STE 4 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11234-3458
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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    |    CEO
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    Name                 |     CHANI  SEGALL 
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    Credential           |    
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    Telephone            |    347-218-1207
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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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