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General NPI Number Information
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NPI Number | 1649132655
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Entity Type | Organization
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Legal Business Name | DIVINE GLOBAL LLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 317 DAYLILY DR
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City | PERRIS
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State | CA
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Zip | 92571-3046
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Country | US
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Telephone | 951-229-6314
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Fax |
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Provider Business Mailing Address
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Address Line | 317 DAYLILY DR
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City | PERRIS
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State | CA
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Zip | 92571-3046
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Country | US
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Telephone | 951-229-6314
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | NEIZKOR NELSON
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Credential |
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Telephone | 440-657-7967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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