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General NPI Number Information
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NPI Number | 1306058458
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Entity Type | Organization
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Legal Business Name | SUSANNE LOCKHART, MD PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 5805 COIT ROAD SUITE 203
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-769-8180
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Fax | 972-769-8487
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Provider Business Mailing Address
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Address Line | 5805 COIT RD STE 203
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-769-8180
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Fax | 972-769-8487
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SUSANNE LOCKHART
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Credential | MD
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Telephone | 972-769-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K3609
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License Number State | TX
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