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General NPI Number Information
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NPI Number | 1164616231
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Entity Type | Organization
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Legal Business Name | LOVALL AND ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3557 COMFORT DR
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-7940
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Country | US
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Telephone | 765-365-2801
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Fax | 765-362-8633
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Provider Business Mailing Address
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Address Line | PO BOX 937
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-0937
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Country | US
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Telephone | 765-365-2801
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Fax | 765-362-8633
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. LARRY DWAYNE LOVALL
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Credential | M.D.
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Telephone | 317-718-5523
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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 | 01025398
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License Number State | IN
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