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General NPI Number Information
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NPI Number | 1215116207
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Entity Type | Individual
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Provider Name | NICHOLAS K SABLAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 901 ENTERPRISE PKWY SUITE 900
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City | HAMPTON
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State | VA
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Zip | 23666-6249
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Country | US
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Telephone | 757-827-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 901 ENTERPRISE PKWY SUITE 900
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City | HAMPTON
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State | VA
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Zip | 23666-6249
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Country | US
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Telephone | 757-827-2422
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 0101250115
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101250115
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License Number State | VA
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