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General NPI Number Information
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NPI Number | 1528334935
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Entity Type | Organization
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Legal Business Name | DENIS LOCKLER, ANP, PLLC
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 870 JASON DRIVE
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City | BELLE CHASSE
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State | LA
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Zip | 70037-4190
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Country | US
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Telephone | 504-919-7511
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Fax | 504-656-2865
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | BELLE CHASSE
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State | LA
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Zip | 70037-0688
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Country | US
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Telephone | 504-919-7511
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Fax | 504-656-2865
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Authorized Official
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Title or Position | OWNER
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Name | DENIS JAMES LOCKLER
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Credential | ANP
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Telephone | 504-919-7511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP04755
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License Number State | LA
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