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General NPI Number Information
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NPI Number | 1962778787
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Entity Type | Individual
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Provider Name | NATHANAEL SABBAH
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Gender | Male
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 15211 VANOWEN ST STE 305
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City | VAN NUYS
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State | CA
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Zip | 91405-3604
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Country | US
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Telephone | 818-849-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 18034 VENTURA BLVD # 1010
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City | ENCINO
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State | CA
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Zip | 91316-3516
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A137422
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A137422
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License Number State | CA
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