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General NPI Number Information
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NPI Number | 1306325246
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Entity Type | Organization
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Legal Business Name | LOVING PEDIATRICS LLC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 12343 HAGEN RANCH RD UNIT 702
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4194
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Country | US
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Telephone | 954-829-9179
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Fax |
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Provider Business Mailing Address
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Address Line | 11893 OSPREY POINT CIR
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City | WELLINGTON
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State | FL
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Zip | 33449-8370
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Country | US
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Telephone | 954-829-9179
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER/ADMINISTRATOR
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Name | ROBYN M COYNE
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Credential | RN
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Telephone | 954-829-9179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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