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General NPI Number Information
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NPI Number | 1144317587
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Entity Type | Individual
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Provider Name | JOEL EDWARD LOVELESS D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 802 KENYON RD EMERGENCY ROOM
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City | FORT DODGE
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State | IA
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Zip | 50501-5740
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Country | US
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Telephone | 515-574-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 4846 CANDLEWICK DR
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City | NORWALK
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State | IA
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Zip | 50211-1852
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Country | US
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Telephone | 515-953-6216
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3285
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License Number State | IA
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