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General NPI Number Information
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NPI Number | 1861269672
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Entity Type | Organization
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Legal Business Name | LOVE & LATCH CO LLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 168 VILLAGE CENTER RD
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City | HARLAN
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State | KY
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Zip | 40831-1777
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Country | US
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Telephone | 606-273-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 96 MEADOW BROOK LN
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City | HARLAN
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State | KY
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Zip | 40831-7099
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Country | US
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Telephone | 606-273-7110
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | CHRISTA FARLEY
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Credential |
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Telephone | 606-273-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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