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General NPI Number Information
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NPI Number | 1861778870
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Entity Type | Individual
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Provider Name | SABRINA NICOLE MEARIDA LPT
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Gender | Female
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3918 LENOX AVE STE 430
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2667
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Country | US
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Telephone | 434-951-6355
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Fax | 434-200-8859
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Provider Business Mailing Address
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Address Line | 135 N WILLIAMSBURG DR PO BOX 5387
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City | BLOOMINGTON
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State | IL
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Zip | 61704-3528
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Country | US
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Telephone | 309-661-8823
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Fax | 309-661-8801
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.018765
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P21879
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305216891
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License Number State | VA
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