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NPI 1457172769

NPI 1457172769 : FOR THE LOVE OF YOU PSYCHIATRY : COATESVILLE, PA

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General NPI Number Information
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    NPI Number           |    1457172769
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOR THE LOVE OF YOU PSYCHIATRY 
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Dates
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    Enumeration Date     |    10/19/2024
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    Last Update Date     |    10/19/2024
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Provider Practice Location Address
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    Address Line         |    110 N 4TH AVE 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-3293
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    Country              |    US
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    Telephone            |    484-784-5083
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    110 N 4TH AVE 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-3293
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHERICE  LOVE 
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    Credential           |    CRNP PMHNP
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    Telephone            |    484-784-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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