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General NPI Number Information
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NPI Number | 1336246289
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Entity Type | Individual
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Provider Name | FREDENA LUCAS JAGGERS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 2170 MIDLAND RD
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2927
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Country | US
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Telephone | 910-295-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 128 PEACHTREE LN STE B
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City | ADVANCE
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State | NC
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Zip | 27006-6783
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Country | US
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Telephone | 336-624-1648
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 004545
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License Number State | NC
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