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General NPI Number Information
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NPI Number | 1386235430
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Entity Type | Organization
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Legal Business Name | SAGE PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 27 GLEN ST STE 14
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City | STOUGHTON
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State | MA
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Zip | 02072-2481
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Country | US
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Telephone | 781-913-8406
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Fax | 949-861-4683
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Provider Business Mailing Address
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Address Line | 27 GLEN ST STE 14
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City | STOUGHTON
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State | MA
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Zip | 02072-2481
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Country | US
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Telephone | 781-913-8406
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Fax | 949-561-4683
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | SIERE ALKEE
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Credential | PMHNP-BC
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Telephone | 781-913-8406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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