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General NPI Number Information
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NPI Number | 1740478684
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Entity Type | Organization
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Legal Business Name | JOHN M SARBAK MD PA
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 3735 11TH CIR SUITE 203
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City | VERO BEACH
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State | FL
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Zip | 32960-4844
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Country | US
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Telephone | 772-563-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 3735 11TH CIR SUITE 203
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City | VERO BEACH
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State | FL
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Zip | 32960-4844
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Country | US
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Telephone | 772-563-0930
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Fax | 772-563-0312
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN M SARBAK
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Credential | MD
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Telephone | 772-563-0930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME72455
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License Number State | FL
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