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General NPI Number Information
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NPI Number | 1598962151
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Entity Type | Individual
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Provider Name | STEVEN B SAPIDA D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 5502 MARVIN SHIELDS BLVD
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City | GULFPORT
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State | MS
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Zip | 39501
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Country | US
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Telephone | 228-822-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 5502 MARVIN SHIELDS BLVD
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City | GULFPORT
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State | MS
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Zip | 39501-5007
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02003646A
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License Number State | IN
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