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General NPI Number Information
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NPI Number | 1811621923
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Entity Type | Individual
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Provider Name | HILLARY DANIELLE LOCKE MA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 251 S WILLOW AVE STE 9
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City | COOKEVILLE
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State | TN
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Zip | 38501-3100
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Country | US
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Telephone | 615-987-0053
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 E 10TH ST APT F4
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City | COOKEVILLE
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State | TN
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Zip | 38501-1985
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Country | US
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Telephone | 931-619-5358
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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