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General NPI Number Information
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NPI Number | 1174882799
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Entity Type | Individual
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Provider Name | LINDSEY PUTNAM PEARSON APRN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 15255 MAX LEGGETT PARKWAY SUITE 4400
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City | JACKSONVILLE
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State | FL
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Zip | 32218
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Country | US
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Telephone | 904-427-8898
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Fax | 904-383-1893
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Provider Business Mailing Address
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Address Line | 15255 MAX LEGGETT PARKWAY SUITE 4400
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City | JACKSONVILLE
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State | FL
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Zip | 32218
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Country | US
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Telephone | 904-427-8898
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Fax | 904-383-1893
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9310493
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 9310493
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License Number State | FL
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