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General NPI Number Information
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NPI Number | 1013578442
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Entity Type | Organization
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Legal Business Name | SAGE INFUSION, LLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4728 N HABANA AVE STE 101B
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City | TAMPA
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State | FL
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Zip | 33614-7149
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Country | US
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Telephone | 813-775-9997
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Fax | 813-775-9997
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Provider Business Mailing Address
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Address Line | 248 MIRROR LAKE DR N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3224
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Country | US
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Telephone | 813-775-9997
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Fax | 813-775-9997
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Authorized Official
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Title or Position | OWNER AND CFO
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Name | MATTHEW CLEMENTS
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Credential |
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Telephone | 813-775-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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