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General NPI Number Information
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NPI Number | 1548324619
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Entity Type | Individual
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Provider Name | PAMELA MARY LOVELAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 45 PINE ST 1 MEDOPS SQ
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City | LANGLEY AFB
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State | VA
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Zip | 23665-2025
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Country | US
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Telephone | 757-764-8501
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MAYNARD ST
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City | HAMPTON
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State | VA
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Zip | 23661-3434
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Country | US
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Telephone | 937-581-0559
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 010258
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 090193
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License Number State | OH
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