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General NPI Number Information
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NPI Number | 1811502651
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Entity Type | Individual
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Provider Name | SUMMER N LOVELL
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 1218 STONE ST STE 140
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City | JONESBORO
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State | AR
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Zip | 72401-4568
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Country | US
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Telephone | 870-336-0220
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Fax | 870-558-5637
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Provider Business Mailing Address
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Address Line | 1218 STONE ST STE 140
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City | JONESBORO
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State | AR
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Zip | 72401-4568
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Country | US
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Telephone | 870-336-0220
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Fax | 870-558-5637
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4546
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License Number State |
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