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General NPI Number Information
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NPI Number | 1194733295
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Entity Type | Individual
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Provider Name | LAURA HARMON LOVELESS M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 4301 FOREMAN TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-8015
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Country | US
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Telephone | 757-447-3463
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Fax | 757-447-3462
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Provider Business Mailing Address
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Address Line | 4301 FOREMAN TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-8015
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Country | US
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Telephone | 757-447-3463
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Fax | 757-447-3462
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202006220
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4040
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License Number State | CT
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