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General NPI Number Information
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NPI Number | 1609480607
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Entity Type | Individual
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Provider Name | ALONDA LOVELL
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Gender | Female
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 7314 HORIZON RIDGE DR APT 634
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-2241
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Country | US
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Telephone | 404-808-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 5103 ALEXANDER CIR NE
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City | ATLANTA
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State | GA
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Zip | 30326-1278
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Country | US
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Telephone |
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1559925
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License Number State | GA
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