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General NPI Number Information
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NPI Number | 1275088635
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Entity Type | Individual
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Provider Name | SAMANTHA TUCKER APRN-CNS, ACGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2424 SPRINGER DR STE 300
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City | NORMAN
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State | OK
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Zip | 73069-3966
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Country | US
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Telephone | 405-216-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 SPRINGER DR STE 300
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City | NORMAN
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State | OK
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Zip | 73069-3966
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Country | US
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Telephone | 405-216-3747
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 0101047
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 0101047
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | R0101047
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License Number State | OK
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