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NPI Code Detail

MEDICARE: IN YOUR DREAMS INTERNATIONAL INC

MEDICARE: IN YOUR DREAMS INTERNATIONAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
194735OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1194917484
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN YOUR DREAMS INTERNATIONAL INC
Provider Business Mailing Address
First Line : 200 CORPORATE PL
Second Line : STE 5B
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-536-7400
Fax Number :
Provider Business Practice Location Address
First Line : 996 AIRPORT RD
Second Line : SUITE G-105
City : DESTIN
State : FL
Zip : 32541-2824
Country : US
Telephone Number : 850-269-1322
Fax Number :
Authorized Official
Title or Position : EVP-CFO
Name : CARL R IBERGER
Credential :
Telephone Number : 978-536-7400
Provider Enumeration Date : 08/10/2007
Last Update Date : 10/15/2009

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Directions to “IN YOUR DREAMS INTERNATIONAL INC ” Practice Location

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