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General NPI Number Information
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NPI Number | 1396117412
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Entity Type | Organization
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Legal Business Name | SAGE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 8936 SPANISH RIDGE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89148-1354
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Country | US
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Telephone | 702-319-1555
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Fax | 725-205-2895
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Provider Business Mailing Address
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Address Line | PO BOX 82045
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City | LAS VEGAS
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State | NV
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Zip | 89180-2045
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Country | US
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Telephone | 702-319-1555
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Fax | 725-205-2895
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Authorized Official
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Title or Position | COO
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Name | JARED SHOEMAKER
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Credential | BS, MA
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Telephone | 702-319-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C20110128-1214
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License Number State | NV
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