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General NPI Number Information
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NPI Number | 1821978073
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Entity Type | Organization
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Legal Business Name | DIVINE HEART NURSING LLC
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 347 KETTERING RD
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City | DAVENPORT
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State | FL
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Zip | 33897-7740
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Country | US
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Telephone | 352-933-3017
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Fax | 888-522-5948
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Provider Business Mailing Address
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Address Line | 347 KETTERING RD
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City | DAVENPORT
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State | FL
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Zip | 33897-7740
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Country | US
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Telephone | 352-933-3017
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVINA DRUMMONDS
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Credential |
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Telephone | 352-933-3017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's 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 | 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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