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General NPI Number Information
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NPI Number | 1790080968
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Entity Type | Organization
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Legal Business Name | LOVE COVERS ALL
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 20449 DALBY
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City | REDFORD
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State | MI
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Zip | 48240
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Country | US
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Telephone | 313-646-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 20449 DALBY
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City | REDFORD
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State | MI
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Zip | 48240-1010
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Country | US
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Telephone | 313-646-1626
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MS. CARYN DENISE CLAYTON
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Credential |
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Telephone | 313-585-6236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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