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General NPI Number Information
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NPI Number | 1528437001
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Entity Type | Individual
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Provider Name | BRANDON CODY SABOL DPT
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Gender | Male
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 152 LINDEN DR
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City | WINCHESTER
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State | VA
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Zip | 22601-2818
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Country | US
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Telephone | 540-667-9252
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Fax | 540-722-4514
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Provider Business Mailing Address
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Address Line | 136 LINDEN DR STE 104
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City | WINCHESTER
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State | VA
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Zip | 22601-6900
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25151
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 003425
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305209098
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License Number State | VA
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