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General NPI Number Information
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NPI Number | 1265015770
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Entity Type | Individual
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Provider Name | SABLE DARLING
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Gender | Female
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2900 ELLSWORTH AFB
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City | ELLSWORTH AFB
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State | SD
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Zip | 57706
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Country | US
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Telephone | 605-974-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 916 DEADWOOD LOOP
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City | ELLSWORTH AFB
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State | SD
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Zip | 57706-4204
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Country | US
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Telephone | 605-974-5687
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57925
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License Number State | ID
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