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General NPI Number Information
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NPI Number | 1982170460
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Entity Type | Individual
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Provider Name | ABIGAIL COLLEEN GRACE FRIEDLEIN RBT
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 12650 E BRIARWOOD AVE UNIT 207
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City | CENTENNIAL
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State | CO
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Zip | 80112-6792
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Country | US
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Telephone | 720-591-0171
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 S PARKER RD APT U4
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City | DENVER
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State | CO
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Zip | 80231-2594
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Country | US
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Telephone | 408-832-9685
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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