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General NPI Number Information
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NPI Number | 1700274818
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Entity Type | Organization
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Legal Business Name | SABERHEALTHCARE
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Dates
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Enumeration Date | 12/26/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 1663 LAUGHTON CIR
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-4438
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Country | US
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Telephone | 216-224-4679
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Fax |
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Provider Business Mailing Address
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Address Line | 1663 LAUGHTON CIR
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-4438
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Country | US
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Telephone | 216-224-4679
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MR. BRIAN ANTHONY COLVILN
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Credential | OTR/L
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Telephone | 440-546-0643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 27-1180031
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License Number State | OH
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