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General NPI Number Information
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NPI Number | 1225176647
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Entity Type | Individual
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Provider Name | KYLIE P WEAD PA
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 701 E HAMPDEN AVE STE 515
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3880
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Country | US
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Telephone | 303-209-2503
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Fax | 303-761-0803
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Provider Business Mailing Address
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Address Line | 701 E HAMPDEN AVE STE 515
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3880
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Country | US
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Telephone | 303-209-2503
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Fax | 303-761-0803
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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 | PA.0002156
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License Number State | CO
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