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General NPI Number Information
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NPI Number | 1558295816
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Entity Type | Individual
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Provider Name | REBECCA LOCKLEAR APRN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 401 LAMBERT RD
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City | BISCOE
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State | NC
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Zip | 27209-9002
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Country | US
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Telephone | 910-428-2117
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Fax |
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Provider Business Mailing Address
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Address Line | 11780 US HIGHWAY 1 STE N107
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33408-3007
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5024642
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License Number State | NC
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