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General NPI Number Information
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NPI Number | 1912844150
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Entity Type | Organization
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Legal Business Name | AJ DIVINE HOMECARE
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 5225 TECH DATA DR FL 2 SUITE 2035
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City | CLEARWATER
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State | FL
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Zip | 33760-3133
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Country | US
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Telephone | 515-473-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 TECH DATA DR FL 2
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City | CLEARWATER
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State | FL
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Zip | 33760-3133
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Country | US
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Telephone | 515-473-8830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANEAN MARIE POWELL
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Credential | RN, BSN
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Telephone | 515-473-8830
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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