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General NPI Number Information
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NPI Number | 1689036535
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Entity Type | Individual
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Provider Name | PAUL SABO
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Gender | Male
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Dates
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Enumeration Date | 03/21/2016
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 175 FRANKLIN ST
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City | NORTH ADAMS
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State | MA
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Zip | 01247-2712
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Country | US
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Telephone | 413-664-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 ALPHA RD
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City | HIRAM
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State | OH
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Zip | 44234-9773
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Country | US
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Telephone | 330-388-6247
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2015265
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101698
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License Number State | MA
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