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General NPI Number Information
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NPI Number | 1316805427
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Entity Type | Individual
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Provider Name | TUCKER CHAMBLISS WHIDDON
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 18700 US HIGHWAY 90
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City | ROBERTSDALE
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State | AL
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Zip | 36567-3271
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Country | US
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Telephone | 800-804-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 10496 HILLTOP DR
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City | FOLEY
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State | AL
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Zip | 36535-9141
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Country | US
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Telephone | 800-804-9961
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6589
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License Number State | AL
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