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General NPI Number Information
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NPI Number | 1952302721
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Entity Type | Individual
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Provider Name | CURTIS MAJOR LOCKHART M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 29101 HEALTH CAMPUS DR BUILDING 2 SUITE 155
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City | WESTLAKE
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State | OH
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Zip | 44145-5270
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Country | US
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Telephone | 440-892-5794
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Fax | 440-892-5798
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Provider Business Mailing Address
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Address Line | 29101 HEALTH CAMPUS DR BUILDING 2 SUITE 155
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City | WESTLAKE
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State | OH
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Zip | 44145-5270
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Country | US
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Telephone | 440-892-5794
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Fax | 440-892-5798
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35061982
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35-06-1982
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License Number State | OH
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