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General NPI Number Information
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NPI Number | 1871645523
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Entity Type | Organization
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Legal Business Name | DIVINE NURSES HEALTH SERVICES INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 827 N TATNALL ST 3RD FLOOR
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City | WILMINGTON
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State | DE
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Zip | 19801-1744
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Country | US
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Telephone | 302-655-5566
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Fax | 302-655-5567
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Provider Business Mailing Address
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Address Line | 827 N TATNALL ST 3RD FLOOR
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City | WILMINGTON
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State | DE
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Zip | 19801-1744
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Country | US
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Telephone | 302-655-5566
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Fax | 302-655-5567
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IREBE NTEPEL MUTII
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Credential |
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Telephone | 302-655-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2007011632842
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License Number State | DE
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