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General NPI Number Information
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NPI Number | 1003760356
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Entity Type | Individual
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Provider Name | ANTOINE SABA
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Gender | Male
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 2279 EAGLE GLEN PKWY STE 110
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City | CORONA
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State | CA
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Zip | 92883-0790
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Country | US
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Telephone | 951-268-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 ADISHIAN WAY
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City | CORONA
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State | CA
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Zip | 92883-0723
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Country | US
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Telephone |
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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 | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 95235639
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License Number State | CA
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