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General NPI Number Information
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NPI Number | 1073213203
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Entity Type | Organization
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Legal Business Name | EN LOVE,LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1001 N FEDERAL HWY STE 200
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2416
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Country | US
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Telephone | 954-815-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 255 NW 12TH AVE
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City | DANIA
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State | FL
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Zip | 33004-2624
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Country | US
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Telephone | 954-815-4877
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHOUNEQA JAMES
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Credential |
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Telephone | 954-815-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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