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General NPI Number Information
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NPI Number | 1134035231
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Entity Type | Organization
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Legal Business Name | M-L PSYCHIATRY
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 1635 VILLAGE CENTER CIR
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City | LAS VEGAS
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State | NV
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Zip | 89134-6375
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Country | US
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Telephone | 727-390-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 267 GROUPER CT
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City | KISSIMMEE
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State | FL
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Zip | 34759-4838
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Country | US
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Telephone | 727-390-4594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DORRETT MCDONALD-LOVELL
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Credential |
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Telephone | 727-390-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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