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NPI 1730731720

NPI 1730731720 : SWEET DREAMS USA LLC : ENGLEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1730731720
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWEET DREAMS USA LLC 
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Dates
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    Enumeration Date     |    07/10/2019
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    Last Update Date     |    07/11/2019
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Provider Practice Location Address
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    Address Line         |    177 N DEAN ST STE 206 
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    City                 |    ENGLEWOOD
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    State                |    NJ
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    Zip                  |    07631-2523
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    Country              |    US
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    Telephone            |    201-227-3368
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    Fax                  |    201-227-3371
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Provider Business Mailing Address
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    Address Line         |    177 N DEAN ST STE 206 
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    City                 |    ENGLEWOOD
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    State                |    NJ
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    Zip                  |    07631-2523
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    Country              |    US
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    Telephone            |    201-227-3368
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    Fax                  |    201-227-3371
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    DR. ADRIJANA  MIKSA 
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    Credential           |    D.M.D.
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    Telephone            |    201-227-3368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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