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General NPI Number Information
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NPI Number | 1265852685
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Entity Type | Individual
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Provider Name | AARON MAURICE LOCKLEAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 410D S JONES ST
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City | PEMBROKE
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State | NC
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Zip | 28372-7261
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Country | US
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Telephone | 910-521-4462
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Fax | 910-521-7739
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | LAURINBURG
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State | NC
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Zip | 28353-1847
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Country | US
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Telephone | 910-291-7160
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Fax | 910-291-7180
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2016-01071
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License Number State | NC
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