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General NPI Number Information
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NPI Number | 1255547501
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Entity Type | Individual
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Provider Name | CAROL ANN LOCKWOOD DDS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 395 MAIN STREET LOOP
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City | KENAI
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State | AK
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Zip | 99611-7727
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Country | US
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Telephone | 907-283-7759
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2949
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City | SOLDOTNA
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State | AK
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Zip | 99669-2949
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Country | US
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Telephone | 907-283-7759
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 243791
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019-022923
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D10958
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License Number State | OR
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