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General NPI Number Information
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NPI Number | 1831361765
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Entity Type | Individual
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Provider Name | NAOMI LOCKETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 6302 BROADWAY, STE 235
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City | PEARLAND
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State | TX
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Zip | 77581
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Country | US
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Telephone | 281-997-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 3503 STONE GATE CIR
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City | PEARLAND
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State | TX
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Zip | 77584-9267
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Country | US
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Telephone | 800-809-8875
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H4510
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License Number State | TX
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