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General NPI Number Information
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NPI Number | 1538564638
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Entity Type | Individual
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Provider Name | MATTHEW LOCK PHARM D
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Gender | Male
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 12/06/2020
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Provider Practice Location Address
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Address Line | 1401 HILLCREST RD
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City | MOBILE
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State | AL
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Zip | 36695-4032
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Country | US
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Telephone | 251-633-7298
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Fax | 251-633-9930
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Provider Business Mailing Address
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Address Line | 924 CHARLESTON LOOP
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City | FAIRHOPE
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State | AL
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Zip | 36532-4129
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Country | US
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Telephone | 334-303-0284
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19918
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License Number State | AL
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