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General NPI Number Information
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NPI Number | 1407368673
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Entity Type | Organization
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Legal Business Name | DIVINE HANDS COMMUNITY CARE SERVICES
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 2607 NW 39TH TER APT 202
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1066
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Country | US
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Telephone | 954-494-1294
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Fax | 954-625-9005
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Provider Business Mailing Address
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Address Line | 2607 NW 39TH TER APT 202
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1066
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Country | US
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Telephone | 954-494-1294
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Fax | 954-625-9005
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. CLAUDIA P LEANDRE
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Credential |
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Telephone | 954-494-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 234807
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 234807
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 234807
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License Number State | FL
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