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General NPI Number Information
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NPI Number | 1366828014
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Entity Type | Organization
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Legal Business Name | RHODA LOCKETT, DDS, PC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 3210 E WOODMEN RD SUITE 200B
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3588
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Country | US
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Telephone | 719-358-6998
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Fax | 719-358-6952
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Provider Business Mailing Address
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Address Line | 3210 E WOODMEN RD SUITE 200B
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3588
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Country | US
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Telephone | 719-358-6998
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Fax | 719-358-6952
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. RHODA L LOCKETT
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Credential | DDS
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Telephone | 240-338-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9800
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License Number State | CO
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