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General NPI Number Information
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NPI Number | 1710021282
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Entity Type | Individual
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Provider Name | JAMES MILES LOVE PT, ATC
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Gender | Male
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 5755 99TH AVENUE CIR E HARRISON RANCH
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City | PARRISH
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State | FL
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Zip | 34219-4441
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Country | US
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Telephone | 941-721-6922
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Fax | 941-721-6922
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Provider Business Mailing Address
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Address Line | 5755 99TH AVENUE CIR E HARRISON RANCH
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City | PARRISH
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State | FL
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Zip | 34219-4441
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Country | US
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Telephone | 941-721-6922
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Fax | 941-721-6922
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT18396
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT5180
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL167
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License Number State | FL
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