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General NPI Number Information
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NPI Number | 1891355079
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Entity Type | Individual
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Provider Name | SABRINA ELIZABETH VON BARGEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 4830 CHATEAU AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405
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Country | US
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Telephone | 843-225-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 CHATEAU AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405
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Country | US
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Telephone | 843-225-8718
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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 | 11416
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9419
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9414
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License Number State | SC
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