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General NPI Number Information
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NPI Number | 1306937628
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Entity Type | Organization
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Legal Business Name | JOHN B LOVETTE II DDS PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 353 MARKET STREET SUITE 110
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City | JOHNSTOWN
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State | PA
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Zip | 15901-1711
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Country | US
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Telephone | 814-536-8935
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Fax | 814-536-8936
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Provider Business Mailing Address
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Address Line | 353 MARKET STREET SUITE 110
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City | JOHNSTOWN
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State | PA
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Zip | 15901-1711
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Country | US
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Telephone | 814-536-8935
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Fax | 814-536-8936
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN BERNARD LOVETTE II
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Credential | DDS
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Telephone | 814-536-8935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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