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General NPI Number Information
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NPI Number | 1215947254
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Entity Type | Individual
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Provider Name | SHARON E LOCK PHD, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 317 E MAIN ST
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City | WILMORE
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State | KY
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Zip | 40390-1323
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Country | US
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Telephone | 859-858-0339
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Fax | 859-858-0341
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | STILWELL
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State | KS
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Zip | 66085-0305
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Country | US
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Telephone | 913-951-3588
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Fax | 713-344-9420
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2521
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2521
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3002521
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License Number State | KY
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