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General NPI Number Information
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NPI Number | 1649419300
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Entity Type | Organization
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Legal Business Name | TOTAL LOVING CARE & PODIATRIC SERVICES, P.C.
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 15324 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48126-2917
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Country | US
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Telephone | 313-581-4325
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Fax | 313-582-4325
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | DEARBORN
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State | MI
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Zip | 48121-1845
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Country | US
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Telephone | 313-581-4325
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Fax | 313-582-4325
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYLVIA LASHA LOVING
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Credential | DPM
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Telephone | 313-581-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 5901002009
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License Number State | MI
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