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General NPI Number Information
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NPI Number | 1346096971
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Entity Type | Organization
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Legal Business Name | DIVINE CHILDREN INC.
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 712 LINBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-622-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 3127 S SUGAR RD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-9726
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Country | US
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Telephone | 956-662-4470
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Fax | 956-259-8124
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Authorized Official
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Title or Position | PRESIDENT AND CHAIRMAN
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Name | DR. SUBHASH BOSE
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Credential | DR
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Telephone | 956-467-8360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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