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General NPI Number Information
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NPI Number | 1588458335
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Entity Type | Organization
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Legal Business Name | NANCY LOVE, M.D.
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 320 SUPERIOR AVE STE 330
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2772
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Country | US
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Telephone | 949-873-6858
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Fax | 949-841-8501
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Provider Business Mailing Address
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Address Line | 2973 HARBOR BLVD # 654
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City | COSTA MESA
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State | CA
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Zip | 92626-3912
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Country | US
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Telephone | 714-584-5215
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Fax | 949-841-8501
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Authorized Official
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Title or Position | CEO
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Name | DR. NANCY LOVE
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Credential | MD
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Telephone | 949-873-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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