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General NPI Number Information
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NPI Number | 1538645957
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Entity Type | Individual
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Provider Name | GRETCHEN CHAN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 375 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-2826
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Country | US
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Telephone | 512-324-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 375 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-2826
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 354799
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP032176
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A167963
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95024282
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 278738
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ01310400
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NP200006280
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License Number State | DC
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP137862
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 857507
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C-APN-0002065-C-NP
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53-80701-061
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License Number State | KS
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5022731
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License Number State | NC
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP61350350
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License Number State | WA
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10824
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License Number State | CT
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 113869
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License Number State | NE
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