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General NPI Number Information
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NPI Number | 1851610372
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Entity Type | Organization
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Legal Business Name | SAGE HEALTH AND CONTINENCE CARE INC
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 185 MANSION RD
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3406
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Country | US
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Telephone | 610-356-8086
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Fax |
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Provider Business Mailing Address
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Address Line | 185 MANSION RD
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3406
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Country | US
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Telephone | 610-356-8086
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH N BENNETT
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Credential | CRNP
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Telephone | 484-645-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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