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General NPI Number Information
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NPI Number | 1063028397
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Entity Type | Individual
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Provider Name | ABIGAIL MARIE HYDOCK DC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 30772 SOUTHVIEW DR STE 140
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City | EVERGREEN
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State | CO
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Zip | 80439-2214
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Country | US
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Telephone | 303-670-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 S WASHINGTON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-6926
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Country | US
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Telephone | 301-712-6083
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0008385
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License Number State | CO
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