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General NPI Number Information
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NPI Number | 1265705420
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Entity Type | Organization
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Legal Business Name | ROBERT M. LOVE M.D. PA
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 1091 PORT MALABAR BLVD NE STE 3
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City | PALM BAY
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State | FL
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Zip | 32905-5100
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Country | US
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Telephone | 321-723-4616
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Fax | 321-722-2186
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Provider Business Mailing Address
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Address Line | 1091 PORT MALABAR BLVD NE STE 3
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City | PALM BAY
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State | FL
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Zip | 32905-5100
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Country | US
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Telephone | 321-723-4616
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Fax | 321-722-2186
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Authorized Official
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Title or Position | ORTHOPAEDIC SURGEON
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Name | ROBERT MICHAEL LOVE
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Credential | MD
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Telephone | 321-723-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME48227
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License Number State | FL
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