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General NPI Number Information
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NPI Number | 1134272370
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Entity Type | Organization
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Legal Business Name | THE DIVINE CARE SERVICES - L.L.C
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 775 CATALINA DR
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City | LANCASTER
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State | TX
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Zip | 75146-1046
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Country | US
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Telephone | 972-947-3100
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Fax | 972-947-3099
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Provider Business Mailing Address
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Address Line | 775 CATALINA DR
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City | LANCASTER
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State | TX
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Zip | 75146-1046
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Country | US
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Telephone | 972-947-3100
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Fax | 972-947-3099
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Authorized Official
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Title or Position | ADM
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Name | MERCEDES JONES
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Credential |
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Telephone | 972-947-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 679467
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License Number State | TX
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