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General NPI Number Information
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NPI Number | 1922899863
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Entity Type | Individual
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Provider Name | SAGE COMSTOCK
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 4102 BEN FRANKLIN BLVD
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City | DURHAM
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State | NC
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Zip | 27704-2140
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Country | US
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Telephone | 919-972-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 107 MARGARET DR
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City | CREEDMOOR
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State | NC
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Zip | 27522-9630
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Country | US
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Telephone | 641-990-9321
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 361939
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License Number State | NC
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