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General NPI Number Information
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NPI Number | 1093535122
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Entity Type | Individual
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Provider Name | SHON JOSEPH SABO RDH
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 590 INDIAN SPRINGS RD
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City | INDIANA
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State | PA
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Zip | 15701-3600
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Country | US
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Telephone | 724-465-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SHENANGO AVE
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City | SHARON
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State | PA
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Zip | 16146-1503
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Country | US
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Telephone | 717-447-0340
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH068372
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | PHDH001489
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License Number State | PA
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