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General NPI Number Information
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NPI Number | 1528383569
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Entity Type | Individual
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Provider Name | YOVA S LOCKETT LMT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 13339 N CENTRAL EXPY 103
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City | DALLAS
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State | TX
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Zip | 75243-1125
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Country | US
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Telephone | 469-441-1712
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 450312
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City | GARLAND
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State | TX
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Zip | 75045-0312
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Country | US
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Telephone | 469-441-1712
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT109646
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License Number State | TX
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