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1609694058 NPI number — ABIGAIL CLARK GILLESPIE

NPI Number: 1609694058
Health Care Provider/Practitioner: ABIGAIL CLARK GILLESPIE

Information about “1609694058” NPI (ABIGAIL CLARK GILLESPIE) exists in 1609694058 in HTML format HTML  |  1609694058 in plain Text format TXT  |  1609694058 in PDF (Portable Document Format) PDF  |  1609694058 in an XML format XML  formats.

NPI Number : 1609694058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609694058",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILLESPIE",
    "FirstName": "ABIGAIL",
    "MiddleName": "CLARK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1503 BANKSTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WYLIE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75098-8491",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-830-3391",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1772 W MCDERMOTT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALLEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75013-3342",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-340-2777",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2024",
    "LastUpdateDate": "10/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "93935",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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