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General NPI Number Information
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NPI Number | 1932220761
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Entity Type | Individual
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Provider Name | SUZANNE F. LOCKWOOD A.P.R.N.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 312 3RD ST CENTER FOR MENTAL HEALTH
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City | HAVRE
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State | MT
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Zip | 59501-3534
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Country | US
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Telephone | 406-265-9639
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Fax | 406-265-6771
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Provider Business Mailing Address
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Address Line | 521 4TH ST
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City | HAVRE
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State | MT
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Zip | 59501-3649
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Country | US
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Telephone | 406-395-4305
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Fax | 406-395-5997
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8700
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 99968
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License Number State | MT
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