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General NPI Number Information
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NPI Number | 1679540223
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Entity Type | Individual
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Provider Name | NASH W LOVE III LPA
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 221 W MAIN ST
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City | JEFFERSON
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State | NC
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Zip | 28640-9723
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Country | US
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Telephone | 336-246-4542
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Fax | 828-262-5687
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Provider Business Mailing Address
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Address Line | 221 W MAIN ST
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City | JEFFERSON
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State | NC
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Zip | 28640-9723
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Country | US
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Telephone | 336-246-4542
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Fax | 828-262-5687
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1354
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License Number State | NC
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