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General NPI Number Information
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NPI Number | 1184548547
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Entity Type | Individual
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Provider Name | ABIGAIL LYN TUCKER MSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 5859 ABERCORN ST STE 8
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City | SAVANNAH
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State | GA
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Zip | 31405-5530
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Country | US
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Telephone | 912-452-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 4204 POPULUS DR
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City | POOLER
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State | GA
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Zip | 31322-3702
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Country | US
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Telephone | 912-687-2788
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW012821
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License Number State | GA
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