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General NPI Number Information
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NPI Number | 1942790357
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Entity Type | Organization
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Legal Business Name | DREAM SPECIMEN COLLECTIONS
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 21250 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2221
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Country | US
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Telephone | 586-241-0831
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Fax |
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Provider Business Mailing Address
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Address Line | 21250 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2221
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Country | US
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Telephone | 586-241-0831
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD PHLEBOTOMIST
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Name | CIERRA BELL
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Credential |
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Telephone | 313-758-1696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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