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General NPI Number Information
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NPI Number | 1730405341
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Entity Type | Organization
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Legal Business Name | RONALD JAMES SAGER MD INC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 1171 7TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2714
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Country | US
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Telephone | 831-420-0120
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Fax | 831-420-0136
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Provider Business Mailing Address
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Address Line | 1663 DOMINICAN WAY STE 214
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1556
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Country | US
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Telephone | 831-713-5180
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Fax | 831-713-5179
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Authorized Official
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Title or Position | OWNER
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Name | RONALD JAMES SAGER
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Credential | MD
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Telephone | 831-713-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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