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General NPI Number Information
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NPI Number | 1770876757
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Entity Type | Individual
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Provider Name | JERRIS L. LOVETT DPT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 122 BATTLEFIELD CROSSING CT
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City | RINGGOLD
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State | GA
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Zip | 30736-5176
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Country | US
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Telephone | 706-861-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 ERIC DR
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City | ROSSVILLE
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State | GA
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Zip | 30741-5426
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Country | US
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Telephone | 236-458-2814
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT01266
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License Number State | GA
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