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General NPI Number Information
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NPI Number | 1841594504
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Entity Type | Organization
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Legal Business Name | DREAM PARTNERS LLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 602 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-7054
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Country | US
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Telephone | 856-691-1400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 417200
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City | BOSTON
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State | MA
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Zip | 02241-0001
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SCOTT HERNBERG
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Credential | DO
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Telephone | 201-804-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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