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NPI Code Detail

MEDICARE: SABRINA NICHOLE DIMASO

MEDICARE:   SABRINA NICHOLE DIMASO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor, MS

General Provider Information

NPI Number : 1477053197
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA NICHOLE DIMASO
Provider Business Mailing Address
First Line : 1485 W 3RD AVE APT 3C
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-2850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 430 WARRENVILLE RD
Second Line :
City : LISLE
State : IL
Zip : 60532-1348
Country : US
Telephone Number : 630-545-7659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 02/19/2018

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Directions to “ SABRINA NICHOLE DIMASO ” Practice Location

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