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NPI 1427927862

NPI 1427927862 : ABBY LYNN EARDLEY LMSW : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1427927862
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    Entity Type          |    Individual 
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    Provider Name        |    ABBY LYNN EARDLEY LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2025
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    7460 WARREN PKWY STE 180 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-4170
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    Country              |    US
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    Telephone            |    214-754-9739
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    Fax                  |    214-548-4159
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Provider Business Mailing Address
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    Address Line         |    831 OVERLOOK 
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    City                 |    PROSPER
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    State                |    TX
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    Zip                  |    75078-1897
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    2025040704
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    116938
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    License Number State |    TX
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