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General NPI Number Information
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NPI Number | 1013801158
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Entity Type | Organization
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Legal Business Name | C.T. TUCK PERSONAL CARE SERVICES LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2711 BANKS AVE
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City | MOBILE
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State | AL
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Zip | 36617-1858
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Country | US
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Telephone | 601-514-2584
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Fax | 888-571-3795
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Provider Business Mailing Address
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Address Line | 2711 BANKS AVE
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City | MOBILE
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State | AL
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Zip | 36617-1858
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Country | US
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Telephone | 601-514-2584
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Fax | 888-571-3795
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHANDRA LOUISE TUCK
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Credential |
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Telephone | 601-514-2584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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