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General NPI Number Information
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NPI Number | 1558089532
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Entity Type | Individual
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Provider Name | STACEY SABATINA NP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 7750 E FLORENTINE RD STE A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2245
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Country | US
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Telephone | 928-277-1211
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Fax | 928-277-1208
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Provider Business Mailing Address
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Address Line | 7952 N MUSIC MOUNTAIN LN
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86315-9090
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Country | US
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Telephone | 928-830-1747
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 279344
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License Number State | AZ
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