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General NPI Number Information
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NPI Number | 1982485793
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Entity Type | Organization
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Legal Business Name | LOVING MINDS LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 8115 W DUANE DR
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City | FRANKFORT
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State | IL
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Zip | 60423-8104
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Country | US
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Telephone | 424-653-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 8115 W DUANE DR
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City | FRANKFORT
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State | IL
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Zip | 60423-8104
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Country | US
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Telephone | 424-653-4014
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICIER
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Name | LOVELYNE A NGECHE
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Credential |
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Telephone | 424-653-4014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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