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General NPI Number Information
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NPI Number | 1710041702
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Entity Type | Individual
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Provider Name | PAMELA LOVE
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1555 NE 17TH ST
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City | PARIS
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State | TX
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Zip | 75460
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Country | US
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Telephone | 805-444-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 KELTIC LODGE DR
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City | OXNARD
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State | CA
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Zip | 93036
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Country | US
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Telephone | 805-444-7789
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Fax | 805-983-0230
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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