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NPI 1689426132

NPI 1689426132 : LOVESHARE HEALTHCARE SERVICES : PIKESVILLE, MD

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General NPI Number Information
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    NPI Number           |    1689426132
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOVESHARE HEALTHCARE SERVICES 
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Dates
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    Enumeration Date     |    04/05/2024
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    19 WALKER AVE STE 304 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-4067
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    Country              |    US
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    Telephone            |    443-900-0968
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    Fax                  |    410-363-7809
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Provider Business Mailing Address
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    Address Line         |    19 WALKER AVE STE 304 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-4067
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    Country              |    US
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    Telephone            |    443-900-0968
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    Fax                  |    410-363-7809
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    DR. LOVE CHIBUIHE NZEAKO 
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    Credential           |    DNP, FNP-BC, PMHNP-C
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    Telephone            |    443-900-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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