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General NPI Number Information
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NPI Number | 1033850268
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Entity Type | Organization
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Legal Business Name | LOVEWATCH TLC
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Dates
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Enumeration Date | 04/03/2022
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 9020 LORTON STATION BLVD STE 114
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City | LORTON
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State | VA
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Zip | 22079-4750
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Country | US
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Telephone | 443-857-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 7676 WOLFORD WAY
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City | LORTON
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State | VA
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Zip | 22079-1740
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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/ADMINISTRATOR
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Name | NIKKIA BIVENS
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Credential |
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Telephone | 571-574-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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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