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General NPI Number Information
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NPI Number | 1033827753
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Entity Type | Organization
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Legal Business Name | LOTTS 2 LOVE LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 15125 N SCOTTSDALE RD APT 403
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3160
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Country | US
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Telephone | 404-944-0940
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Fax |
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Provider Business Mailing Address
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Address Line | 15125 N SCOTTSDALE RD APT 403
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3160
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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 | FOUNDER
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Name | MR. STEPHEN LOTT
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Credential |
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Telephone | 404-944-0940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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