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General NPI Number Information
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NPI Number | 1184709875
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Entity Type | Individual
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Provider Name | JENNIFER TAGATZ RN, MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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Country | US
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Telephone | 888-731-8994
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Fax | 888-732-8119
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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 | NP13404
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License Number State | CA
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