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General NPI Number Information
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NPI Number | 1790749810
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Entity Type | Organization
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Legal Business Name | SABATES EYE CENTERS LLC
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 4741 S ARROWHEAD DR
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6957
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Country | US
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Telephone | 913-261-2020
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Fax | 913-261-2090
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Provider Business Mailing Address
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Address Line | 11261 NALL AVE
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City | LEAWOOD
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State | KS
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Zip | 66211-1675
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Country | US
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Telephone | 913-261-2020
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Fax | 913-671-3225
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Authorized Official
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Title or Position | CMO
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Name | JOSEPH PRAVOOT GIRA
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Credential |
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Telephone | 314-909-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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