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General NPI Number Information
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NPI Number | 1639221104
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Entity Type | Organization
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Legal Business Name | DIVINE INTERVENTIONS HOME HEALTH, LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3245 E LIVINGSTON AVE SUITE 103
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City | COLUMBUS
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State | OH
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Zip | 43227-1943
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Country | US
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Telephone | 614-338-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 E LIVINGSTON AVENUE SUITE 103
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City | COLUMBUS
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State | OH
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Zip | 43227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. NATALIA T CARNEGIE
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Credential | RN, BSN
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Telephone | 614-517-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1670887
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License Number State | OH
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