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General NPI Number Information
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NPI Number | 1578485470
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Entity Type | Individual
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Provider Name | ERIN MCKENZIE LOCKE MSN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 303 N KEENE ST STE 404
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City | COLUMBIA
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State | MO
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Zip | 65201-8054
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Country | US
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Telephone | 573-777-7627
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Fax |
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Provider Business Mailing Address
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Address Line | 970 N HICKMAN ST
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City | CENTRALIA
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State | MO
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Zip | 65240-1300
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Country | US
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Telephone | 660-654-4117
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2026036417
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License Number State | MO
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