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General NPI Number Information
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NPI Number | 1508605510
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Entity Type | Individual
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Provider Name | LAUREN NICOLE LOVING
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 2085 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77098-1539
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Country | US
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Telephone | 713-526-6143
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Fax |
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Provider Business Mailing Address
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Address Line | 28122 LAURA CT
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City | CONROE
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State | TX
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Zip | 77385-8959
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Country | US
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Telephone | 832-381-7141
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4062944
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License Number State | TX
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