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General NPI Number Information
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NPI Number | 1447334461
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Entity Type | Individual
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Provider Name | JAMES H LOVELL D.D.S., P.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22 UPPER MAIN ST BOX 675
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City | SHARON
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State | CT
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Zip | 06069-2083
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Country | US
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Telephone | 860-364-5006
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Fax | 860-364-1277
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Provider Business Mailing Address
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Address Line | 22 UPPER MAIN ST PO BOX 675
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City | SHARON
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State | CT
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Zip | 06069-2083
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Country | US
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Telephone | 860-364-5006
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Fax | 860-364-1277
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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 | 4654
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License Number State | CT
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