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General NPI Number Information
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NPI Number | 1093850075
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Entity Type | Individual
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Provider Name | DEBORAH LEE SABRA M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3117 SW 13TH CT
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-2714
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Country | US
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Telephone | 954-584-7178
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Fax | 954-584-3151
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Provider Business Mailing Address
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Address Line | 5417 ROOSEVELT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3945
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Country | US
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Telephone | 954-987-4999
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 3570
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License Number State | FL
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