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General NPI Number Information
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NPI Number | 1821881053
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Entity Type | Individual
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Provider Name | SHEREE LOVE EXERCISEPHYSIOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2591 BRIGHT CT
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City | DECATUR
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State | GA
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Zip | 30034-2245
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Country | US
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Telephone | 404-895-4450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 361312
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City | DECATUR
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State | GA
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Zip | 30036-1312
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Country | US
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Telephone | 404-895-4450
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State | GA
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