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General NPI Number Information
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NPI Number | 1003337536
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Entity Type | Individual
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Provider Name | DAVID JONATHON SABOVICH DMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 6037 BESSINGER ST
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City | FORT SILL
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State | OK
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Zip | 73503-4406
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Country | US
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Telephone | 580-442-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 7550 HIGHLAND HILLS DR
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City | ELGIN
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State | OK
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Zip | 73538-2370
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Country | US
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Telephone | 805-704-1582
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D009740
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D009740
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License Number State | AZ
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