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General NPI Number Information
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NPI Number | 1164301347
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Entity Type | Individual
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Provider Name | SAGE SCALES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 9801 S US HIGHWAY 1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5628
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Country | US
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Telephone | 772-337-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 SE LANDING WAY APT 8
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City | STUART
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State | FL
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Zip | 34997-1891
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Country | US
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Telephone | 850-490-0161
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS69440
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License Number State | FL
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