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General NPI Number Information
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NPI Number | 1356211353
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Entity Type | Organization
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Legal Business Name | SAGE PERFORMANCE
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1001 N KORFF DR
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City | VINELAND
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State | NJ
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Zip | 08360-6231
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Country | US
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Telephone | 856-481-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 148 ROUTE 73 STE 3
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City | VOORHEES
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State | NJ
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Zip | 08043-9514
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Country | US
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Telephone | 856-481-8810
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAIGE GOMEZ
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Credential | PT, DPT
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Telephone | 856-481-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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