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General NPI Number Information
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NPI Number | 1164026712
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Entity Type | Individual
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Provider Name | JEAN PAULIN E LOCKULU MSW
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Gender | Male
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 201 DEERMOUNT ST.
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City | KETCHIKAN
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State | AK
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Zip | 99901
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Country | US
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Telephone | 907-228-9446
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Fax | 907-225-1541
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Provider Business Mailing Address
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Address Line | 2960 TONGASS AVE
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City | KETCHIKAN
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State | AK
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Zip | 99901
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Country | US
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Telephone | 907-228-4900
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Fax | 800-590-3277
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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 |
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License Number State | AK
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