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General NPI Number Information
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NPI Number | 1598699639
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Entity Type | Organization
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Legal Business Name | DREAMSCAPES ANESTHESIA LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 466 OLD HOOK RD STE 1
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City | EMERSON
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State | NJ
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Zip | 07630-1368
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Country | US
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Telephone | 201-967-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 233 LAFAYETTE AVE STE LL5
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City | SUFFERN
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State | NY
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Zip | 10901-4822
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Country | US
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Telephone | 917-747-6977
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROMAN FULMAN
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Credential | MD
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Telephone | 917-747-6977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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