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General NPI Number Information
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NPI Number | 1407781875
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Entity Type | Organization
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Legal Business Name | DIVINE PATH NEMT, LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 6001 JOHNS RD STE 510
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City | TAMPA
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State | FL
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Zip | 33634-4501
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Country | US
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Telephone | 813-810-2773
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Fax |
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Provider Business Mailing Address
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Address Line | 15823 CEDAR ELM TER
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City | LAND O LAKES
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State | FL
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Zip | 34638-3741
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Country | US
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Telephone | 813-810-2773
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Fax | 813-810-2773
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Authorized Official
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Title or Position | OWNER
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Name | DENISE PEREZ
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Credential | PEREZ
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Telephone | 813-810-2773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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