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General NPI Number Information
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NPI Number | 1639680259
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Entity Type | Organization
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Legal Business Name | THE DREAM CATCHER FOUNDATION, INC.
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 1762 W 42ND ST
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City | LOS ANGELES
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State | CA
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Zip | 90062
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Country | US
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Telephone | 323-292-1255
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Fax | 323-292-1272
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Provider Business Mailing Address
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Address Line | 500 S VAN NESS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-4645
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAMELA A NORRIS
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Credential |
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Telephone | 323-528-8342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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