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General NPI Number Information
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NPI Number | 1093937724
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Entity Type | Organization
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Legal Business Name | AMERICAN INJURY OF VENICE INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1868 TAMIAMI TRL S # 4
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City | VENICE
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State | FL
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Zip | 34293-3160
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Country | US
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Telephone | 941-923-9533
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Fax |
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Provider Business Mailing Address
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Address Line | 1868 TAMIAMI TRL S # 4
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City | VENICE
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State | FL
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Zip | 34293-3160
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Country | US
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Telephone | 941-923-9533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN TUCCI
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Credential | MS
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Telephone | 941-923-9533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State | FL
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