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General NPI Number Information
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NPI Number | 1144208224
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Entity Type | Individual
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Provider Name | JAMES C TUCKER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 600 S MCKINLEY ST SUITE 102
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-666-2824
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Fax | 501-666-9653
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Provider Business Mailing Address
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Address Line | 800 FAIR PARK BLVD
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1720
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Country | US
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Telephone | 501-666-2824
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Fax | 501-666-9653
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | C-7983
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License Number State | AR
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