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General NPI Number Information
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NPI Number | 1326900218
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Entity Type | Organization
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Legal Business Name | LOVELY PRIMARY CARE LLC
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 2695 SUGARLOAF PKWY STE 1200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-9459
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Country | US
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Telephone | 678-272-4000
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Fax | 866-538-4953
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Provider Business Mailing Address
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Address Line | 2695 SUGARLOAF PKWY STE 1200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-9459
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Country | US
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Telephone | 678-272-4000
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Fax | 866-538-4953
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Authorized Official
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Title or Position | CEO
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Name | EMERALD LOVELY
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Credential | MD
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Telephone | 678-444-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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