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General NPI Number Information
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NPI Number | 1356878367
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Entity Type | Individual
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Provider Name | BROOKE LOCKWOOD-COLE LCMHC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 10-12 PEARL STREET
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CLAIRE POINT RD
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City | BURLINGTON
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State | VT
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Zip | 05408-1322
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Country | US
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Telephone | 802-497-1418
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Fax | 802-497-1418
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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