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General NPI Number Information
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NPI Number | 1497295513
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Entity Type | Organization
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Legal Business Name | KAREN LOVE, OD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1299 E PENNSYLVANIA AVE SUITE B
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City | ESCONDIDO
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State | CA
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Zip | 92027-3027
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Country | US
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Telephone | 760-743-6540
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Fax | 760-743-4164
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Provider Business Mailing Address
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Address Line | 1299 E PENNSYLVANIA AVE SUITE B
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City | ESCONDIDO
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State | CA
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Zip | 92027-3027
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Country | US
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Telephone | 760-743-6540
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Fax | 760-743-4164
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN ELIZABETH LOVE
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Credential | O.D.
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Telephone | 760-743-6540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | CA12331T
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License Number State | CA
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