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General NPI Number Information
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NPI Number | 1609271402
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Entity Type | Organization
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Legal Business Name | DREAM MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 3010 N MILITARY TRL
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City | BOCA RATON
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State | FL
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Zip | 33431-6361
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Country | US
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Telephone | 561-245-8531
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Fax | 561-961-4395
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Provider Business Mailing Address
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Address Line | 3010 N MILITARY TRL
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City | BOCA RATON
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State | FL
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Zip | 33431-6361
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Country | US
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Telephone | 561-245-8531
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Fax | 561-961-4395
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Authorized Official
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Title or Position | COO
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Name | JESSICA HUGHES
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Credential |
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Telephone | 561-245-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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