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General NPI Number Information
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NPI Number | 1376754218
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Entity Type | Organization
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Legal Business Name | KENNETH J SABLE AND ASSOC INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 3261 OLD WASHINGTON RD SUITE 2010
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City | WALDORF
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State | MD
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Zip | 20602-3223
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Country | US
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Telephone | 301-645-5390
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Fax | 301-645-6215
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Provider Business Mailing Address
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Address Line | 3261 OLD WASHINGTON RD SUITE 2010
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City | WALDORF
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State | MD
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Zip | 20602-3223
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Country | US
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Telephone | 301-645-5390
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Fax | 301-645-6215
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Authorized Official
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Title or Position | OWNER' DOCTOR
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Name | DR. KENNETH J SABLE
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Credential | D.C
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Telephone | 301-645-5390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | S01765
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License Number State | MD
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