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General NPI Number Information
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NPI Number | 1003639600
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Entity Type | Individual
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Provider Name | LAINEY OGLE
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 226 S. WOODS MILL RD. SUITE 43
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3406
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Country | US
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Telephone | 314-205-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 16455 WILDHORSE LAKE BLVD APT 260
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City | CHESTERFIELD
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State | MO
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Zip | 63005
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 041527769
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2026029346
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License Number State | MO
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