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General NPI Number Information
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NPI Number | 1831752476
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Entity Type | Organization
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Legal Business Name | DIVINE HOPE TRANSPORTATION INC
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 3859 FIELDSTONE CIR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-3249
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Country | US
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Telephone | 863-651-8221
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Fax | 863-875-5351
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Provider Business Mailing Address
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Address Line | 3859 FIELDSTONE CIR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-3249
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Country | US
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Telephone | 863-651-8221
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Fax | 863-875-5351
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Authorized Official
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Title or Position | SAFETY / COMPLIANCE
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Name | LEXINGTON ANTHONY WORRELL
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Credential |
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Telephone | 863-651-8221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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