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General NPI Number Information
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NPI Number | 1750420196
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Entity Type | Individual
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Provider Name | JENNIFER GAYLE LOVELL NP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 15024 E LIMESTONE RD STE F
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City | HARVEST
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State | AL
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Zip | 35749-7264
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Country | US
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Telephone | 256-262-0535
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Fax | 256-262-0536
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Provider Business Mailing Address
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Address Line | 15024 E LIMESTONE RD STE F
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City | HARVEST
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State | AL
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Zip | 35749-7264
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Country | US
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Telephone | 562-620-5352
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Fax | 256-262-0536
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1-099417
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 200750044NP
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License Number State | OR
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