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General NPI Number Information
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NPI Number | 1568279487
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Entity Type | Organization
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Legal Business Name | TEXAS SAGE HEALTH PLLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 4500 BELTWAY DR
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City | ADDISON
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State | TX
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Zip | 75001-3707
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Country | US
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Telephone | 888-747-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 OAK CYN STE 200
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City | IRVINE
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State | CA
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Zip | 92618-5233
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Country | US
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Telephone | 949-240-7000
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Fax | 949-705-4985
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | ANGELA MOUTON
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Credential |
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Telephone | 858-952-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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