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General NPI Number Information
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NPI Number | 1689283723
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Entity Type | Individual
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Provider Name | MICHELLE MARIE LOVSEY APRN, AG CNS-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1 SAINT ANTHONYS WAY
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City | ALTON
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State | IL
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Zip | 62002-4568
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Country | US
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Telephone | 618-474-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 206 S 7TH ST
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City | BENLD
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State | IL
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Zip | 62009-1417
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Country | US
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Telephone | 217-710-3690
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 209.021005
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 209021005
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License Number State | IL
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