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General NPI Number Information
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NPI Number | 1598937781
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Entity Type | Individual
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Provider Name | LILY P LOVE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4901 LANG AVE NE STE 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4597
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Country | US
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Telephone | 505-883-2574
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Fax | 877-647-0202
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Provider Business Mailing Address
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Address Line | 5929 BALCONES DR STE 200
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City | AUSTIN
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State | TX
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Zip | 78731-4280
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Country | US
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Telephone | 512-550-1800
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Fax | 877-647-0202
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME101352
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 238246
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 026670
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD2009-0553
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License Number State | NM
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