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General NPI Number Information
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NPI Number | 1134030471
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Entity Type | Individual
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Provider Name | TAWNIE GADD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/20/2026
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Provider Practice Location Address
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Address Line | 1114 5TH ST
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City | DAVIS
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State | CA
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Zip | 95616-3921
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Country | US
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Telephone | 916-715-9831
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Fax |
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Provider Business Mailing Address
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Address Line | 3539 DOUGLAS DR N
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City | MINNEAPOLIS
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State | MN
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Zip | 55422-2415
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Country | US
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Telephone | 612-642-1355
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CA
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