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General NPI Number Information
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NPI Number | 1437438603
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Entity Type | Individual
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Provider Name | ABIGAIL C O'LOUGHLIN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 357 MCCASLIN BLVD STE 200
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City | LOUISVILLE
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State | CO
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Zip | 80027
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Country | US
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Telephone | 720-471-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 357 MCCASLIN BLVD STE 200
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City | LOUISVILLE
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State | CO
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Zip | 80027-2932
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Country | US
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Telephone | 616-340-8877
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-14448
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License Number State |
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