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General NPI Number Information
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NPI Number | 1992652630
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Entity Type | Organization
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Legal Business Name | DIVINE SOLUTIONS RESIDENTIAL SERVICES LLC.
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 242 DALTON DR
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City | KISSIMMEE
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State | FL
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Zip | 34758-2600
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Country | US
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Telephone | 407-453-5183
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Fax |
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Provider Business Mailing Address
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Address Line | 242 DALTON DR
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City | KISSIMMEE
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State | FL
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Zip | 34758-2600
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Country | US
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Telephone | 407-453-5183
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JEAN ALVAREZ TOUSSAINT
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Credential |
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Telephone | 863-440-3617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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