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General NPI Number Information
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NPI Number | 1598558215
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Entity Type | Organization
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Legal Business Name | OUR HEROES DREAMS
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 15130 SHERWOOD FOREST RD
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City | OAK RUN
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State | CA
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Zip | 96069-9529
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Country | US
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Telephone | 844-643-8387
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Fax | 844-643-8387
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Provider Business Mailing Address
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Address Line | 15130 SHERWOOD FOREST RD
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City | OAK RUN
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State | CA
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Zip | 96069-9529
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Country | US
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Telephone | 844-643-8387
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Fax | 844-643-8387
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUSTIN WARREN BOND
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Credential |
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Telephone | 559-381-2853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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