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General NPI Number Information
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NPI Number | 1861019184
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Entity Type | Organization
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Legal Business Name | DIVINE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 22430 GLENBOW WAY
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City | CLARKSBURG
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State | MD
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Zip | 20871-9482
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Country | US
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Telephone | 301-916-6276
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Fax |
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Provider Business Mailing Address
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Address Line | 22430 GLENBOW WAY
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City | CLARKSBURG
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State | MD
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Zip | 20871-9482
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Country | US
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Telephone | 301-916-6276
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | HENRIETTA HENRIETTA
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Credential |
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Telephone | 301-916-6276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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