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Individual
TAMARA R. LOVE
Active
Individual
TAMARA R. LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
160167
GA
363LF0000X
Family Nurse Practitioner
Primary
5005299
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005066
—
NC
01
—
FH4001260
FIRST MEDICARE DIRECT
NC
Enumeration date
08/22/2008
Last updated
01/23/2018
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