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General NPI Number Information
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NPI Number | 1780864892
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Entity Type | Organization
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Legal Business Name | ROBERT M LOVE MD INC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 6401 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9678
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Country | US
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Telephone | 580-536-4585
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Fax | 580-536-2423
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Provider Business Mailing Address
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Address Line | 6401 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9678
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Country | US
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Telephone | 580-536-4585
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Fax | 580-536-2423
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT MILTON LOVE
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Credential | MD
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Telephone | 508-536-4585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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