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General NPI Number Information
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NPI Number | 1083321764
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Entity Type | Individual
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Provider Name | LOVELEEN K AHLUWALIA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 296 S PACIFIC HWY
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City | TALENT
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State | OR
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Zip | 97540-6649
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Country | US
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Telephone | 416-469-9285
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Fax | 541-615-9308
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Provider Business Mailing Address
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Address Line | 3265 HILLCREST PARK DR
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City | MEDFORD
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State | OR
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Zip | 97504-7657
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Country | US
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Telephone | 541-210-8721
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Fax | 541-210-8724
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10000672
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License Number State | OR
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