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General NPI Number Information
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NPI Number | 1811046535
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Entity Type | Individual
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Provider Name | KENNETH MAURICE LOVETTE MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 3485 N MAIN ST
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City | FARMVILLE
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State | NC
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Zip | 27828
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Country | US
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Telephone | 252-753-3193
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1259
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City | CAMDEN
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State | SC
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Zip | 29021-1259
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Country | US
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Telephone | 803-713-8350
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 37586
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License Number State | SC
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