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General NPI Number Information
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NPI Number | 1871414508
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Entity Type | Organization
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Legal Business Name | LOTUS DIVINE HEALTHCARE INC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 12555 ORANGE DR # 4007
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 NW 159TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLAOLUWAPO OLAOYE
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Credential |
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Telephone | --
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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