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General NPI Number Information
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NPI Number | 1932656584
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Entity Type | Individual
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Provider Name | LINDSAY B JACKSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 320 EAST NORTH AVENUE 1ST FLOOR, CVI 1
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-8820
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Fax | 412-359-8222
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Provider Business Mailing Address
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Address Line | 320 EAST NORTH AVENUE 1ST FLOOR, CVI 1
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-8820
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Fax | 412-359-8222
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA058467
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TMA053096
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License Number State | PA
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