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General NPI Number Information
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NPI Number | 1780540625
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Entity Type | Organization
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Legal Business Name | SAGE MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5909 TALBOT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7482
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Country | US
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Telephone | 410-812-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 TALBOT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7482
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE ETIENNE
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Credential | LNHA
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Telephone | 410-812-6108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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