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NPI 1427904408

NPI 1427904408 : DEVYNE CARE LLC : DELTONA, FL

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General NPI Number Information
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    NPI Number           |    1427904408
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEVYNE CARE LLC 
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Dates
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    Enumeration Date     |    03/10/2026
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    Last Update Date     |    03/10/2026
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Provider Practice Location Address
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    Address Line         |    608 EVERETT ST 
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    City                 |    DELTONA
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    State                |    FL
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    Zip                  |    32725-3215
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    Country              |    US
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    Telephone            |    407-417-3767
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1012 20TH ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32805-4611
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    Country              |    US
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    Telephone            |    407-417-3767
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TONYA NICOLE MITCHELL 
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    Credential           |    
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    Telephone            |    407-417-3767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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    License Number       |    
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    License Number State |    
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