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General NPI Number Information
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NPI Number | 1245722974
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Entity Type | Organization
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Legal Business Name | ALEX SABO DO PA
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1900 N BAYSHORE DR APT 4508
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City | MIAMI
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State | FL
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Zip | 33132-3025
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Country | US
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Telephone | 954-579-3916
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Fax | 954-239-3902
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Provider Business Mailing Address
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Address Line | 1900 N BAYSHORE DR APT 4508
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City | MIAMI
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State | FL
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Zip | 33132-3025
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Country | US
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Telephone | 954-579-3916
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Fax | 954-239-3902
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Authorized Official
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Title or Position | OWNER
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Name | ALEX SABO
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Credential | DO
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Telephone | 954-416-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OS13097
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License Number State | FL
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