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General NPI Number Information
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NPI Number | 1588551089
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Entity Type | Individual
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Provider Name | LINDSEY JAGOE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 477 N EL CAMINO REAL STE A100
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City | ENCINITAS
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State | CA
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Zip | 92024-1329
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Country | US
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Telephone | 760-943-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 930 VIA MIL CUMBRES UNIT 182
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1708
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Country | US
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Telephone | 203-733-5962
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034020
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License Number State | CA
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