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NPI Code Detail

MEDICARE: SHARON LOVE LVN

MEDICARE: SHARON LOVE LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse140755TX

General Provider Information

NPI Number : 1225073224
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LOVE LVN
Provider Business Mailing Address
First Line : 905 GREEN COVE LN
Second Line :
City : DALLAS
State : TX
Zip : 75232-1639
Country : US
Telephone Number : 214-374-6722
Fax Number : 214-376-3909
Provider Business Practice Location Address
First Line : 905 GREEN COVE LN
Second Line :
City : DALLAS
State : TX
Zip : 75232-1639
Country : US
Telephone Number : 214-374-6722
Fax Number : 214-376-3909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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Directions to “ SHARON LOVE LVN” Practice Location

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