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General NPI Number Information
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NPI Number | 1063623916
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Entity Type | Organization
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Legal Business Name | MARIO A SABATES MD PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 2900 W. 12 AVENUE #5
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-888-0005
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Fax | 305-888-0006
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Provider Business Mailing Address
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Address Line | 2534 INDIAN MOUND TRL
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City | CORAL GABLES
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State | FL
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Zip | 33134-5527
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Country | US
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Telephone | 305-461-1199
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Fax | 304-854-3130
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIO A SABATES
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Credential | MD
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Telephone | 305-461-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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