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General NPI Number Information
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NPI Number | 1376805861
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY SABOL DPT
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Gender | Male
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 37464 LION DR UNIT 4
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City | SELBYVILLE
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State | DE
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Zip | 19975
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Country | US
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Telephone | 302-988-1586
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Fax | 302-988-1593
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Provider Business Mailing Address
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Address Line | 2122 YORK RD STE 300
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City | OAK BROOK
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State | IL
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Zip | 60523-1925
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Country | US
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Telephone | 803-812-3656
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Fax | 410-648-4878
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0003035
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License Number State | DE
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