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General NPI Number Information
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NPI Number | 1144595331
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Entity Type | Individual
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Provider Name | RAMIE L TUCKER APRN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5665 PEACHTREE DUNWOODY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1764
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Country | US
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Telephone | 404-778-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 3356 KENYON CREEK DR NW
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City | KENNESAW
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State | GA
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Zip | 30152-8016
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Country | US
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Telephone | 404-702-9165
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN193447
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN193447
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN193447
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License Number State | GA
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