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General NPI Number Information
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NPI Number | 1992788129
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Entity Type | Individual
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Provider Name | ANDREA WILSON MEAD MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 3520 E 15TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-8938
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Country | US
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Telephone | 970-313-2700
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Fax | 970-313-2727
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Provider Business Mailing Address
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Address Line | 2500 ROCKY MOUNTAIN AVE STE 330
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-313-2700
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Fax | 970-313-2727
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37043
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0037043
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License Number State | CO
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