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General NPI Number Information
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NPI Number | 1376995951
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Entity Type | Organization
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Legal Business Name | DEVOTED DIVAS HOME CARE
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 1361 SMYRNA RD
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City | ELGIN
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State | SC
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Zip | 29045-8968
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Country | US
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Telephone | 803-408-0042
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Fax |
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Provider Business Mailing Address
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Address Line | 1361 SMYRNA RD
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City | ELGIN
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State | SC
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Zip | 29045-8968
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Country | US
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Telephone | 803-408-0042
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSE RASHID
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Credential | R.N.
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Telephone | 803-408-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHCP0571
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License Number State | SC
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