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General NPI Number Information
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NPI Number | 1346195898
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Entity Type | Organization
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Legal Business Name | KISMET DIVINE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 223 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2840
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Country | US
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Telephone | 832-492-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CASCADE RD
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City | RAYNE
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State | LA
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Zip | 70578-2543
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Country | US
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Telephone | 832-492-3247
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLA JONES DE'LAY
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Credential | FNP-C
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Telephone | 832-492-3247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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