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General NPI Number Information
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NPI Number | 1427553106
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Entity Type | Organization
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Legal Business Name | SABRINA CHRISTIAN, LLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 1337 W 49TH PL APT 107
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City | HIALEAH
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State | FL
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Zip | 33012-3124
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Country | US
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Telephone | 863-393-6528
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Fax |
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Provider Business Mailing Address
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Address Line | 1337 W 49TH PL APT 107
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City | HIALEAH
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State | FL
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Zip | 33012-3124
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Country | US
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Telephone | 863-393-6528
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SABRINA CHRISTIAN
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Credential | PA-C
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Telephone | 863-393-6528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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