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General NPI Number Information
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NPI Number | 1982030979
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Entity Type | Individual
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Provider Name | LINDSAY SARA STAGG P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 408 W 14TH ST SUITE 201
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City | NEW YORK
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State | NY
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Zip | 10014-1042
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Country | US
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Telephone | 212-530-0639
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 017053
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00850200
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License Number State | NJ
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