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General NPI Number Information
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NPI Number | 1679375547
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Entity Type | Organization
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Legal Business Name | JENNY L LOVE
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 10 MCKOWN RD
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City | ALBANY
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State | NY
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Zip | 12203-3496
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Country | US
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Telephone | 518-288-5266
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Fax | 518-244-5292
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Provider Business Mailing Address
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Address Line | 10 MCKOWN RD
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City | ALBANY
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State | NY
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Zip | 12203-3496
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Country | US
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Telephone | 518-288-5266
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Fax | 518-244-5292
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARTIN NEARY
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Credential |
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Telephone | 518-244-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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