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General NPI Number Information
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NPI Number | 1528556362
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Entity Type | Individual
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Provider Name | HOLLIE ABLES SAPPINGTON MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 252 NORTHSIDE DR
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City | NEWTON
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State | MS
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Zip | 39345-9756
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Country | US
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Telephone | 601-683-3117
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Fax | 601-683-2505
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Provider Business Mailing Address
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Address Line | PO BOX 5392
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City | MERIDIAN
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State | MS
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Zip | 39302-5392
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Country | US
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Telephone | 601-703-3018
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Fax | 601-703-9283
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 52618
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29082
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License Number State | MS
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