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General NPI Number Information
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NPI Number | 1801436449
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Entity Type | Organization
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Legal Business Name | DREAMLIFE,LLC
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Dates
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Enumeration Date | 01/12/2020
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 7255 STANDARD DR STE E
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City | HANOVER
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State | MD
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Zip | 21076-1775
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Country | US
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Telephone | 443-866-4389
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Fax |
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Provider Business Mailing Address
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Address Line | 90 HAMMONDS LN APT 342
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City | BROOKLYN
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State | MD
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Zip | 21225-3681
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Country | US
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Telephone | 443-866-4389
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DANIEL THOMAS SACHARIAH
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Credential |
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Telephone | 410-770-2917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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