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General NPI Number Information
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NPI Number | 1497358428
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Entity Type | Individual
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Provider Name | ABIGAIL L YOUNGEN DPT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1295 WESTHAVEN DR
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City | VAIL
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State | CO
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Zip | 81657-4395
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Country | US
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Telephone | 970-476-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 EDWARDS VILLAGE BLVD UNIT B208
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City | EDWARDS
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State | CO
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Zip | 81632-5562
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Country | US
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Telephone | 970-569-3883
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0017343
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License Number State | CO
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