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General NPI Number Information
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NPI Number | 1265746804
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Entity Type | Individual
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Provider Name | LOVE C SINGLETON III MSW, LISW-S/CP, LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2472 NW 8TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33993-5715
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Country | US
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Telephone | 804-631-9272
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Fax | 704-675-7332
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Provider Business Mailing Address
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Address Line | 1631 DEL PRADO BLVD S STE 300-1022
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City | CAPE CORAL
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State | FL
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Zip | 33990-6739
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Country | US
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Telephone | 804-631-9272
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Fax | 704-675-7332
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CO11438
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14254
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010885
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1201554.SUPV
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17821
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License Number State | FL
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