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General NPI Number Information
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NPI Number | 1396695219
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Entity Type | Organization
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Legal Business Name | DESERT SAGE HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 56524 ANTELOPE TRL
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2808
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Country | US
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Telephone | 949-620-1650
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Fax |
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Provider Business Mailing Address
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Address Line | 56524 ANTELOPE TRL
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2808
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Country | US
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Telephone | 949-620-1650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM CORTLAND GREEN
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Credential |
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Telephone | 949-397-0659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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