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General NPI Number Information
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NPI Number | 1972394526
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Entity Type | Individual
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Provider Name | CARLEE LOCKROW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 25 VALLEY DR
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City | GREENWICH
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State | CT
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Zip | 06831-5210
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Country | US
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Telephone | 203-340-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 850 PACIFIC ST APT 356
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City | STAMFORD
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State | CT
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Zip | 06902-7369
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Country | US
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Telephone | 518-728-4418
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F04250528
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License Number State | CT
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