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General NPI Number Information
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NPI Number | 1295693992
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Entity Type | Individual
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Provider Name | MICHELLE MARIE LOVE
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1000 HOSPITAL RD
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City | WAYNESVILLE
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State | MO
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Zip | 65583-2634
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Country | US
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Telephone | 573-774-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 23765 GRINDSTONE RD
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City | LEBANON
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State | MO
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Zip | 65536-6360
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Country | US
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Telephone | 941-685-5942
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MO
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