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General NPI Number Information
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NPI Number | 1598934283
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Entity Type | Organization
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Legal Business Name | FIELD OF DREAMS, INC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 14531 INTERSTATE 27 SUITE 100
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City | AMARILLO
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State | TX
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Zip | 79119
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Country | US
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Telephone | 806-331-1618
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Fax | 806-331-3044
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Provider Business Mailing Address
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Address Line | 14531 INTERSTATE 27 SUITE 100
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City | AMARILLO
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State | TX
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Zip | 79119
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Country | US
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Telephone | 806-331-1618
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Fax | 806-331-3044
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Authorized Official
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Title or Position | OWNER/CFO
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Name | MR. RODNEY J LANCOUR
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Credential |
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Telephone | 806-331-1618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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