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1376113928 NPI number — SARA RUTH BAGGE NP

NPI Number: 1376113928
Health Care Provider/Practitioner: SARA RUTH BAGGE NP

Information about “1376113928” NPI (SARA RUTH BAGGE NP) exists in 1376113928 in HTML format HTML  |  1376113928 in plain Text format TXT  |  1376113928 in PDF (Portable Document Format) PDF  |  1376113928 in an XML format XML  formats.

NPI Number : 1376113928 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376113928",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAGGE",
    "FirstName": "SARA",
    "MiddleName": "RUTH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FUGAZZOTTO",
    "OtherFirstName": "SARA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1 LYONS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEDHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02026-5599",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-329-1400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 LYONS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEDHAM",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02026-5599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-493-3700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2021",
    "LastUpdateDate": "02/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN2279290",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WG0000X",
          "TaxonomyName": "General Practice Registered Nurse",
          "LicenseNumber": "RN2279290",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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