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General NPI Number Information
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NPI Number | 1093674988
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Entity Type | Organization
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Legal Business Name | SAGE PHYSICAL THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 9 BRIDIE SQ
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City | OSWEGO
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State | NY
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Zip | 13126-3681
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Country | US
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Telephone | 315-343-5095
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Fax | 315-326-0100
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Provider Business Mailing Address
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Address Line | 9 BRIDIE SQ
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City | OSWEGO
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State | NY
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Zip | 13126-3681
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Country | US
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Telephone | 315-343-5095
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Fax | 315-326-0100
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JACKIE MCLAUGHLIN
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Credential |
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Telephone | 315-529-5870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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