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General NPI Number Information
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NPI Number | 1386919256
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Entity Type | Individual
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Provider Name | GRETCHEN F TWEED PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1 LINCOLN CTR STE 1030
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4258
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Country | US
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Telephone | 312-319-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 13044 KING CIR
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City | BROOMFIELD
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State | CO
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Zip | 80020-5230
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Country | US
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Telephone | 720-507-5521
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2939
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License Number State | CO
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