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General NPI Number Information
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NPI Number | 1992638092
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Entity Type | Organization
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Legal Business Name | LOVE AND LIGHT FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 5106 BARTHOLOMEWS LN
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City | GREENSBORO
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State | NC
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Zip | 27407-2726
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Country | US
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Telephone | 336-609-9105
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Fax | 336-313-2526
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Provider Business Mailing Address
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Address Line | 701 GREEN VALLEY RD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27408-7096
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Country | US
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Telephone | 336-609-9105
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Fax | 336-313-2526
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Authorized Official
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Title or Position | OWNER. FOUNDER
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Name | MS. LE'STARR M ROSE
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Credential | FNP
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Telephone | 248-396-3295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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