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General NPI Number Information
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NPI Number | 1790579472
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Entity Type | Organization
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Legal Business Name | LOVE FAMILY PRACTICE
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1805 S MAIN ST STE 5
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City | CORBIN
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State | KY
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Zip | 40701-2405
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Country | US
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Telephone | 606-215-3228
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Fax | 606-215-3603
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Provider Business Mailing Address
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Address Line | 1805 S MAIN ST STE 5
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City | CORBIN
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State | KY
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Zip | 40701-2405
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Country | US
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Telephone | 606-215-3228
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Fax | 606-215-3603
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Authorized Official
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Title or Position | OWNER/APRN
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Name | MRS. NICHOLE I DYE-LOVE
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Credential | APRN
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Telephone | 606-215-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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