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General NPI Number Information
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NPI Number | 1932157591
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Entity Type | Individual
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Provider Name | BRUCE SABATINO MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 HOSPITAL ST BAPTIST MEMORIAL HOSPITAL - ED
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City | BOONEVILLE
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State | MS
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Zip | 38829-3354
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Country | US
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Telephone | 662-720-5404
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Fax | 662-720-5450
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Provider Business Mailing Address
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Address Line | 649 SAINT IVES WALK
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City | MONROE
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State | GA
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Zip | 30655-1979
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Country | US
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Telephone | 770-207-0261
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Fax | 770-207-0291
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 13674
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 29085
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NC
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