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General NPI Number Information
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NPI Number | 1568334308
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Entity Type | Organization
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Legal Business Name | J&T DIVINE CARE
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 499 N STATE ROAD 434 STE 2069
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-1006
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Country | US
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Telephone | 407-756-9492
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Fax | 352-729-2210
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Provider Business Mailing Address
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Address Line | 499 N STATE ROAD 434 STE 2069
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-1006
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Country | US
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Telephone | 407-756-9492
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Fax | 352-729-2210
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TESICA BARNES
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Credential |
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Telephone | 407-756-9492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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