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General NPI Number Information
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NPI Number | 1376647628
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Entity Type | Organization
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Legal Business Name | SABAL PHYSICAL THERAPY LTD
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 4801 W PETERSON SUITE 402
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City | CHICAGO
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State | IL
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Zip | 60646
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Country | US
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Telephone | 773-736-9400
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Fax | 773-736-3546
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Provider Business Mailing Address
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Address Line | 4801 W PETERSON SUITE 402
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City | CHICAGO
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State | IL
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Zip | 60646
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Country | US
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Telephone | 773-736-9400
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Fax | 773-736-3546
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Authorized Official
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Title or Position | PRESIDENT PHYSICAL THERAPIST
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Name | JAMES J SABAL
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Credential | PT
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Telephone | 773-736-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 060007040
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License Number State | IL
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