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General NPI Number Information
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NPI Number | 1225436009
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Entity Type | Individual
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Provider Name | AMBER GORDON LOCKHART
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Gender | Female
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 30246 RED CULVER WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6906
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Country | US
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Telephone | 813-943-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 19206 INLET COVE CT
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City | LUTZ
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State | FL
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Zip | 33558-9728
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Country | US
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Telephone | 813-943-7735
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA13859
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ 6904
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP013761
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License Number State | GA
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