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General NPI Number Information
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NPI Number | 1922214790
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Entity Type | Organization
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Legal Business Name | B LOVE, INC.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 1110 BENFIELD BLVD SUITE H
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City | MILLERSVILLE
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State | MD
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Zip | 21108-2639
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Country | US
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Telephone | 866-392-8858
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Fax | 866-392-8858
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Provider Business Mailing Address
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Address Line | PO BOX 5962
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City | LUTHERVILLE
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State | MD
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Zip | 21094-5962
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Country | US
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Telephone | 866-392-8858
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Fax | 866-392-8858
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA GRAYSON LOVE
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Credential | PH.D.
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Telephone | 443-275-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PRACTICE OFFICE
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License Number State |
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