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General NPI Number Information
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NPI Number | 1003386608
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Entity Type | Individual
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Provider Name | DEVIN A LOCKETT BMET, CE, CNT, CBPTP
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Gender | Male
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 916 N, MOUNTAIN AVE. SUITE D-1
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-608-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD. SUITE 777
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 424-204-2382
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90683
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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