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General NPI Number Information
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NPI Number | 1346703923
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Entity Type | Individual
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Provider Name | LINDSAY NICOLE OGLE MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1812 OAK TREE RIDGE RD
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City | WILDWOOD
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State | MO
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Zip | 63005-4424
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Country | US
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Telephone | 844-676-1037
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Fax | 833-664-4548
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Provider Business Mailing Address
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Address Line | 360 BERRY ST APT 228
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-1624
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Country | US
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Telephone | 574-312-0492
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Fax | 800-856-9143
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022013667
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 2022013667
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License Number State | MO
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