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General NPI Number Information
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NPI Number | 1316970387
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Entity Type | Organization
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Legal Business Name | CRAIG H. LOVETT, M.D., INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 585 STANISLAUS SUITE A
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City | ALTAVILLE
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State | CA
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Zip | 95221
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Country | US
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Telephone | 209-736-2030
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Fax | 209-736-9312
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | ALTAVILLE
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State | CA
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Zip | 95221-0610
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Country | US
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Telephone | 209-736-2030
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Fax | 209-736-9312
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Authorized Official
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Title or Position | SURGEON
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Name | DR. CRAIG H LOVETT
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Credential | MD
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Telephone | 209-736-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | G547540
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License Number State | CA
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