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General NPI Number Information
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NPI Number | 1972498871
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Entity Type | Individual
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Provider Name | JAMELA LOVE
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 625 CIMARRON TRCE
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-2967
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Country | US
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Telephone | 214-718-2528
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 6571
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 214-718-2528
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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