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General NPI Number Information
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NPI Number | 1407268659
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Entity Type | Organization
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Legal Business Name | KEY POINTE MEDICAL WEIGHT LOSS & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 7770 COOPER RD SUITE 8
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City | MONTGOMERY
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State | OH
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Zip | 45242-7744
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Country | US
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Telephone | 513-791-9474
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Fax | 513-791-9475
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Provider Business Mailing Address
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Address Line | 235 INDUSTRIAL DR
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City | FRANKLIN
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State | OH
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Zip | 45005-4429
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Country | US
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Telephone | 937-743-9474
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Fax | 937-743-9475
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM LOVETT
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Credential | MM.D.
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Telephone | 937-743-9474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 35058433
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License Number State | OH
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