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NPI 1528072444

NPI 1528072444 : JOSE FELIU SABATINO DDS : KAYENTA, AZ

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General NPI Number Information
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    NPI Number           |    1528072444
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    Entity Type          |    Individual 
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    Provider Name        |    JOSE FELIU SABATINO DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/28/2006
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    Last Update Date     |    01/09/2019
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Provider Practice Location Address
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    Address Line         |    HWY 160 & MP 394.3 
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    City                 |    KAYENTA
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    State                |    AZ
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    Zip                  |    86033
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    Country              |    US
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    Telephone            |    928-697-4000
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    Fax                  |    928-697-4145
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7302 
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    City                 |    CAROLINA
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    State                |    PR
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    Zip                  |    00986-7302
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    Country              |    US
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    Telephone            |    787-757-7086
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    1201
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    License Number State |    PR
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