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General NPI Number Information
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NPI Number | 1881409035
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Entity Type | Organization
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Legal Business Name | DREAM CHOICE LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 840 N. 48TH ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68504
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Country | US
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Telephone | 402-730-1994
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 SW 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68522
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Country | US
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Telephone | 414-759-0045
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MATTHEW DARRNELL JACKSON
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Credential |
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Telephone | 414-759-0045
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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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