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General NPI Number Information
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NPI Number | 1669127684
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Entity Type | Individual
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Provider Name | ABBY LYNN MOLL
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 8805 W 14TH AVE STE 300
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City | LAKEWOOD
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State | CO
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Zip | 80215-4848
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Country | US
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Telephone | 720-943-7080
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Fax | 720-316-7577
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Provider Business Mailing Address
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Address Line | 211 LEWIS ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2611
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Country | US
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Telephone | 407-415-8947
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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 |
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License Number State | CO
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