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General NPI Number Information
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NPI Number | 1366071342
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Entity Type | Organization
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Legal Business Name | LOVELEE 4LIFE LLC
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 860 US HIGHWAY 1 STE 102C
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3879
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Country | US
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Telephone | 561-800-3500
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Fax | 561-237-1978
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Provider Business Mailing Address
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Address Line | 860 US HIGHWAY 1 STE 102C
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3879
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Country | US
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Telephone | 561-800-3500
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Fax | 561-237-1978
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Authorized Official
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Title or Position | OWNER
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Name | LYONIE H CHARLES
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Credential | NURSE PRACTITIONER
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Telephone | 561-800-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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