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General NPI Number Information
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NPI Number | 1245469303
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Entity Type | Organization
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Legal Business Name | PAULA LOCKE, LCSW, CAP, PA
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 4699 N STATE ROAD 7 SUITE P
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5879
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Country | US
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Telephone | 954-234-2724
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Fax | 954-302-1830
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Provider Business Mailing Address
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Address Line | 9470 LIVE OAK PL SUITE 405
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City | DAVIE
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State | FL
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Zip | 33324-4769
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Country | US
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Telephone | 754-204-0312
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Fax | 954-302-1830
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Authorized Official
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Title or Position | LICENSE CLINICAL SOCIAL WORKER
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Name | MS. PAULA N LOCKE
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Credential | LCSW
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Telephone | 754-204-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 761451900
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | FL
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