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General NPI Number Information
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NPI Number | 1790926053
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Entity Type | Organization
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Legal Business Name | FABEI MEDICAL GROUP
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 12200 SAN SERVANDO AVE
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City | NORTH PORT
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State | FL
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Zip | 34287-1229
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Country | US
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Telephone | 941-423-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 SAN SERVANDO AVE
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City | NORTH PORT
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State | FL
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Zip | 34287-1229
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Country | US
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Telephone | 941-423-5268
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANNA FEIGIN
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Credential |
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Telephone | 941-423-5268
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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 |
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License Number State |
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