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General NPI Number Information
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NPI Number | 1669076907
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Entity Type | Individual
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Provider Name | ABIGAIL KIRSCHBAUM
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Gender | Female
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 17300 N PERIMETER DR STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-6703
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Country | US
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Telephone | 480-661-2661
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Fax | 480-728-8191
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Provider Business Mailing Address
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Address Line | 10200 GRAND CENTRAL AVE STE 220
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4366
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Country | US
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Telephone | 602-222-1900
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11063
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License Number State | AZ
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