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NPI Code Detail

MEDICARE: SAGE UTRUP

MEDICARE: SAGE UTRUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1871459222
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAGE UTRUP
Provider Business Mailing Address
First Line : 2067 ASHMORE DR
Second Line :
City : DAYTON
State : OH
Zip : 45420-2001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 01/05/2026

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Directions to “ SAGE UTRUP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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