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General NPI Number Information
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NPI Number | 1245114248
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Entity Type | Individual
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Provider Name | ABIGAYLE L SILVY MAADC II
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2400 FREDERICK AVE STE 108
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2761
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Country | US
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Telephone | 816-232-5354
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Fax | 816-232-5354
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Provider Business Mailing Address
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Address Line | 2400 FREDERICK AVE STE 108
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2761
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Country | US
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Telephone | 816-271-6980
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Fax | 816-232-5354
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20036
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License Number State | MO
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