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General NPI Number Information
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NPI Number | 1295645125
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Entity Type | Organization
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Legal Business Name | SAGE ADVANCE PRACTICE HEALTHCARE LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 25 SCOTCH RD
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City | EWING
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State | NJ
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Zip | 08628-2500
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Country | US
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Telephone | 609-647-3324
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Fax |
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Provider Business Mailing Address
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Address Line | 11 BRITTON CT
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City | LAWRENCE
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State | NJ
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Zip | 08648-2608
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Country | US
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Telephone | 609-647-3324
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | GREGORIE ACCEUS
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Credential | APN
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Telephone | 609-647-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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