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General NPI Number Information
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NPI Number | 1245189554
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Entity Type | Organization
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Legal Business Name | LOVELAND LEGACY DBA LOVELAND LIVING
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2875 E VENICE AVE
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City | VENICE
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State | FL
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Zip | 34292-2409
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Country | US
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Telephone | 941-415-1664
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Fax |
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Provider Business Mailing Address
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Address Line | 179 S HAVANA RD
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City | VENICE
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State | FL
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Zip | 34292-3104
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Country | US
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Telephone | 941-415-1664
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHLEEN MARIE LOUGHRAN
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Credential |
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Telephone | 941-415-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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