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General NPI Number Information
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NPI Number | 1215812888
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Entity Type | Organization
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Legal Business Name | SAGE SPECIALTY HOSPITAL OF WICHITA FALLS LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1103 GRACE ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4414
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Country | US
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Telephone | 940-720-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 10615 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-7230
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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 | MANAGER/COO
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Name | PATRICK RAMBIN
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Credential |
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Telephone | 225-975-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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