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General NPI Number Information
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NPI Number | 1992488332
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Entity Type | Individual
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Provider Name | CARMA LEANN LOVE RN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 6800 STATE ROUTE 162
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City | MARYVILLE
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State | IL
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Zip | 62062-8500
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Country | US
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Telephone | 618-391-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 VILLA VALLEY LN
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City | CASEYVILLE
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State | IL
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Zip | 62232-1147
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Country | US
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Telephone | 618-593-0889
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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 | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 129177
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 041.279191
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License Number State | IL
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