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General NPI Number Information
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NPI Number | 1790402592
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Entity Type | Organization
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Legal Business Name | LOVEGROVE AND ASSOCIATES
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 40 CHURCH AVE STE 203
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City | WAREHAM
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State | MA
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Zip | 02571-2093
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Country | US
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Telephone | 508-202-0712
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ALDEN RD
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City | MARION
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State | MA
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Zip | 02738-2116
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Country | US
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Telephone | 508-958-9634
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERI LYN LOVEGROVE
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Credential |
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Telephone | 508-202-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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