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General NPI Number Information
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NPI Number | 1518300128
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Entity Type | Individual
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Provider Name | MICHEL JOSEPH SABRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 5053 TOPROYAL LN
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City | JACKSONVILLE
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State | FL
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Zip | 32277
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Country | US
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Telephone | 904-545-0983
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Fax |
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Provider Business Mailing Address
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Address Line | 8383 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32514-6039
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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 |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 137461
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 137461
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License Number State | FL
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