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General NPI Number Information
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NPI Number | 1508885039
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Entity Type | Individual
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Provider Name | CAROLYN MARIE SABA MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 85 SIERRA PARK RD
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City | MAMMOTH LAKES
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State | CA
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Zip | 93546-2073
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Country | US
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Telephone | 760-934-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 9566 S SWISS CT
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City | HEREFORD
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State | AZ
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Zip | 85615-9779
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Country | US
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Telephone | 480-609-9300
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Fax | 480-609-9350
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 29164
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 141298
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License Number State | CA
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