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General NPI Number Information
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NPI Number | 1700730744
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Entity Type | Organization
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Legal Business Name | DIVINE SOLUTIONS HEALTHCARE LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 5497 28TH AVE S APT 2013
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City | FARGO
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State | ND
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Zip | 58104-9045
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Country | US
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Telephone | 614-571-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 2242 S HAMILTON RD STE 208
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City | COLUMBUS
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State | OH
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Zip | 43232-4300
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Country | US
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Telephone | 614-571-2711
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ALEXANDER T FALLAH SR.
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Credential |
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Telephone | 614-571-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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