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General NPI Number Information
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NPI Number | 1871549485
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Entity Type | Individual
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Provider Name | GRETCHEN A HEINRICHS MD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 433 E 8TH ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-6219
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Country | US
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Telephone | 360-565-0999
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Fax | 360-452-7303
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Provider Business Mailing Address
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Address Line | 8987 E TANQUE VERDE RD STE 309, #2002
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City | TUCSON
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State | AZ
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Zip | 85749
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Country | US
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Telephone | 303-912-4159
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 195326
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD2022-1218
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD61517861
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 67156
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 44667
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License Number State | CO
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