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General NPI Number Information
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NPI Number | 1366806259
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Entity Type | Individual
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Provider Name | ALICIA M LOCKARD DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 2907 E JOYCE BLVD STE 5
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5390
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Country | US
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Telephone | 479-841-7795
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Fax | 512-549-8481
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Provider Business Mailing Address
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Address Line | 593 S HORSEBARN RD STE 101
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City | ROGERS
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State | AR
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Zip | 72758-8797
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Country | US
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Telephone | 888-450-9191
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | A006153
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | A006153
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | A006153
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License Number State | AR
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