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General NPI Number Information
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NPI Number | 1194502914
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Entity Type | Organization
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Legal Business Name | LOVE IS LOVE COMMUNITY HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1700 REISTERSTOWN RD STE 222
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City | PIKESVILLE
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State | MD
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Zip | 21208-2924
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Country | US
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Telephone | 240-285-9982
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MONTAIGNE CT APT 1B
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City | PIKESVILLE
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State | MD
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Zip | 21208-3067
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Country | US
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Telephone | 443-208-6570
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IVY SWEETWINE
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Credential |
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Telephone | 240-285-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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