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General NPI Number Information
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NPI Number | 1295710671
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Entity Type | Individual
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Provider Name | GEORGIA C TUCKER CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 7050 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-1347
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Country | US
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Telephone | 800-237-6723
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Fax | 352-732-6282
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Provider Business Mailing Address
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Address Line | PO BOX 552437
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City | TAMPA
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State | FL
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Zip | 33655-0001
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Country | US
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Telephone | 800-237-6723
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Fax | 352-732-6282
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP1068092
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License Number State | FL
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