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General NPI Number Information
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NPI Number | 1881315232
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Entity Type | Individual
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Provider Name | LEIA LOVE
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2950 W MARKET ST STE K
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City | FAIRLAWN
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State | OH
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Zip | 44333-3614
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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Provider Business Mailing Address
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Address Line | 2950 W MARKET ST STE K
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City | FAIRLAWN
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State | OH
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Zip | 44333-3614
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | COSI027863
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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