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General NPI Number Information
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NPI Number | 1851772578
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Entity Type | Organization
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Legal Business Name | DREAM CARE OF VA LLC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 8002 DISCOVERY DR RM 110A
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City | RICHMOND
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State | VA
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Zip | 23229-8601
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Country | US
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Telephone | 804-286-1842
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 BARTLETT BLVD
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City | ORLANDO
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State | FL
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Zip | 32811-6428
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Country | US
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Telephone | 407-206-0040
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN GRIGGS
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Credential |
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Telephone | 407-206-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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