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General NPI Number Information
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NPI Number | 1235016494
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Entity Type | Organization
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Legal Business Name | SAS MEDICAL PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 10101 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-6103
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Country | US
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Telephone | 646-267-3432
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Fax | 718-603-9469
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Provider Business Mailing Address
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Address Line | 117 W CENTRAL BLVD UNIT 16
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City | PALISADES PARK
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State | NJ
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Zip | 07650-5002
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Country | US
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Telephone | 646-267-3432
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Fax | 718-603-9469
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Authorized Official
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Title or Position | OWNER
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Name | SERGEI SOBOLEVSKY
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Credential | MD
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Telephone | 646-267-3432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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