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General NPI Number Information
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NPI Number | 1114685799
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Entity Type | Organization
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Legal Business Name | SAGE COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 1388 FREEPORT RD STE 104
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City | PITTSBURGH
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State | PA
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Zip | 15238-3114
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Country | US
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Telephone | 412-780-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 TANGLEWOOD DR
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City | ALLISON PARK
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State | PA
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Zip | 15101-2931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN LEWIS
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Credential |
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Telephone | 412-780-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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