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General NPI Number Information
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NPI Number | 1881640191
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Entity Type | Individual
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Provider Name | REZA SABET MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 175 JERICHO TPKE SUITE#204
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City | SYOSSET
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State | NY
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Zip | 11791-4532
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Country | US
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Telephone | 516-558-7060
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Fax | 516-558-7328
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Provider Business Mailing Address
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Address Line | 3 ANDREA COURT
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City | SYOSSET
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State | NY
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Zip | 11791-5338
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Country | US
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Telephone | 516-864-1230
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Fax | 516-908-4644
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 112262
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License Number State | NY
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