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General NPI Number Information
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NPI Number | 1285707000
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Entity Type | Individual
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Provider Name | ROBERT EDWARD LOVERN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 301-300-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 BANNOCKBURN DR
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City | BETHESDA
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State | MD
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Zip | 20817-5432
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Country | US
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Telephone | 301-300-6682
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Fax |
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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 | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number | HI-14011
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD-14011
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD- 14011
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-14011
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License Number State | HI
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