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General NPI Number Information
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NPI Number | 1902757990
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Entity Type | Individual
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Provider Name | CRISTINA LOCKIE
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 11757 HOBDAY RD
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City | WILTON
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State | CA
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Zip | 95693-8507
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Country | US
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Telephone | 209-224-7297
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Fax |
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Provider Business Mailing Address
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Address Line | 11757 HOBDAY RD
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City | WILTON
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State | CA
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Zip | 95693-8507
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 236615
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VC0300X
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Taxonomy Name | Complex Family Planning Physician
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License Number | 2236615
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 237615
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License Number State | CA
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