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General NPI Number Information
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NPI Number | 1245675651
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Entity Type | Individual
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Provider Name | TAMARA L SABO LPCC, LCDCIII
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Gender | Female
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 547 1/2 S JAMES ST STE. A
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City | DOVER
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State | OH
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Zip | 44622-2137
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Country | US
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Telephone | 330-343-7400
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Fax | 330-343-7414
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Provider Business Mailing Address
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Address Line | PO BOX 534
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-0534
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Country | US
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Telephone | 330-343-7400
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Fax | 330-343-7414
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 081263
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0500580
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License Number State | OH
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