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NPI Code Detail

MEDICARE: MISS SABINA RUKIYA SABUR MA, CCC-A

MEDICARE: MISS SABINA RUKIYA SABUR MA, CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter7765MN

General Provider Information

NPI Number : 1821131483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SABINA RUKIYA SABUR MA, CCC-A
Provider Business Mailing Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Provider Business Practice Location Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 09/29/2008

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Directions to “ MISS SABINA RUKIYA SABUR MA, CCC-A” Practice Location

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