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General NPI Number Information
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NPI Number | 1407722101
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Entity Type | Individual
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Provider Name | KIRSTIE SABALA OD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 3260 FORUM BLVD STE 303
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City | FORT MYERS
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State | FL
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Zip | 33905-5584
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Country | US
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Telephone | 239-738-7174
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Fax |
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Provider Business Mailing Address
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Address Line | 7611 N STONECREEK CIR
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8432
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Country | US
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Telephone | 305-546-8388
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6828
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License Number State | FL
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