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General NPI Number Information
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NPI Number | 1508759382
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Entity Type | Individual
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Provider Name | NISSA SAGE GUSTAFSON LSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 112 E ALLEN ST UNIT 3
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4189
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Country | US
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Telephone | 215-278-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 LINN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-6307
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Country | US
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Telephone | 845-750-2351
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW141961
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License Number State | PA
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