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General NPI Number Information
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NPI Number | 1336249481
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Entity Type | Individual
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Provider Name | JEFFREY DONALD LOVELESS DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 475 26TH ST NE
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City | OWATONNA
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State | MN
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Zip | 55060-1346
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Country | US
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Telephone | 507-451-5993
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Fax | 507-451-5856
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Provider Business Mailing Address
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Address Line | 475 26TH ST NE
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City | OWATONNA
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State | MN
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Zip | 55060-1346
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Country | US
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Telephone | 507-451-5993
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Fax | 507-451-5856
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 11146
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License Number State | MN
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