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General NPI Number Information
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NPI Number | 1750005898
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Entity Type | Organization
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Legal Business Name | NURTURING DREAMS AND VISIONS ILC INC.,
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 715 SUPERIOR AVE
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City | DAYTON
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State | OH
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Zip | 45402-6308
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Country | US
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Telephone | 937-248-4047
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Fax | 800-883-4139
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Provider Business Mailing Address
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Address Line | 717 SUPERIOR AVE
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City | DAYTON
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State | OH
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Zip | 45402-6308
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Country | US
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Telephone | 193-724-8404
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Fax | 800-883-4139
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Authorized Official
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Title or Position | EXEC. ADMINISTRATOR
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Name | DR. ANGELA MARIE EDWARDS
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Credential | D.MIN
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Telephone | 937-248-4047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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