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General NPI Number Information
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NPI Number | 1275906257
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Entity Type | Organization
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Legal Business Name | HAROLD LOVE COUNSELING, PA
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1455 S FERDON BLVD SUITE D3
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City | CRESTVIEW
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State | FL
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Zip | 32536-4901
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Country | US
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Telephone | 850-398-8662
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Fax | 850-398-8672
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Provider Business Mailing Address
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Address Line | 1455 S FERDON BLVD SUITE D3
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City | CRESTVIEW
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State | FL
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Zip | 32536-4901
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Country | US
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Telephone | 850-398-8662
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Fax | 850-398-8672
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAROLD E LOVE
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Credential | LMHC5886
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Telephone | 850-398-8662
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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 | 5886
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License Number State | FL
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