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General NPI Number Information
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NPI Number | 1477647147
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Entity Type | Individual
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Provider Name | RICHARD WILLIAM LOCKWOOD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3202 N PARK RD
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City | PLANT CITY
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State | FL
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Zip | 33563-2026
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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Provider Business Mailing Address
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Address Line | 301 N. ALEXANDER STREET
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City | PLANT CITY
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State | FL
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Zip | 33566
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME0060889
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License Number State | FL
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