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General NPI Number Information
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NPI Number | 1255207155
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Entity Type | Individual
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Provider Name | DEAN SAGE WOODHOUSE-WEIL MA
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Gender | Male
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 80 FAIRFIELD ST
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City | SAINT ALBANS
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State | VT
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Zip | 05478-1728
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Country | US
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Telephone | 802-347-4092
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Fax |
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Provider Business Mailing Address
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Address Line | 60 WINOOSKI FALLS WAY UNIT 1215
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City | WINOOSKI
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State | VT
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Zip | 05404-2255
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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 |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 097.0135819
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License Number State | VT
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