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NPI 1588577910

NPI 1588577910 : DREAMCATCHER HEALTH LLC : MERIDIAN, ID

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General NPI Number Information
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    NPI Number           |    1588577910
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAMCATCHER HEALTH LLC 
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Dates
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    Enumeration Date     |    09/25/2026
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    Last Update Date     |    09/25/2026
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Provider Practice Location Address
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    Address Line         |    1351 W PINE AVE 
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    City                 |    MERIDIAN
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    State                |    ID
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    Zip                  |    83642-5031
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    Country              |    US
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    Telephone            |    385-454-5027
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    Fax                  |    801-742-8381
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Provider Business Mailing Address
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    Address Line         |    3401 N THANKSGIVING WAY STE 190 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84048-4157
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    Country              |    US
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    Telephone            |    385-454-5027
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    Fax                  |    801-742-8381
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     BRIAN  NEWBERRY 
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    Credential           |    
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    Telephone            |    385-454-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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