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General NPI Number Information
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NPI Number | 1760760607
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Entity Type | Individual
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Provider Name | ABIGAIL HIRSCH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 04/02/2023
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Provider Practice Location Address
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Address Line | 3513 BRIGHTON BLVD STE 427
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City | DENVER
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State | CO
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Zip | 80216-3805
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Country | US
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Telephone | 970-610-0646
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Fax |
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Provider Business Mailing Address
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Address Line | 170 S DEXTER ST
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City | DENVER
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State | CO
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Zip | 80246-1053
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Country | US
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Telephone | 303-332-3442
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0003863
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License Number State | CO
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