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General NPI Number Information
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NPI Number | 1609694058
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Entity Type | Individual
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Provider Name | ABIGAIL CLARK GILLESPIE
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1772 W MCDERMOTT DR
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City | ALLEN
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State | TX
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Zip | 75013-3342
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Country | US
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Telephone | 469-340-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 BANKSTON DR
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City | WYLIE
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State | TX
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Zip | 75098-8491
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Country | US
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Telephone | 336-830-3391
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93935
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License Number State | TX
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