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General NPI Number Information
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NPI Number | 1275720591
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Entity Type | Organization
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Legal Business Name | MICHAEL G SARIBALAS DO PA
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 4625 MORSE RD STE 200
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City | GAHANNA
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State | OH
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Zip | 43230-8355
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Country | US
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Telephone | 614-475-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 20350 ERICKSON PATH
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City | FARMINGTON
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State | MN
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Zip | 55024-2018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL GEORGE SARIBALAS
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Credential | DO
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Telephone | 614-378-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 34005858
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License Number State | OH
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