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General NPI Number Information
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NPI Number | 1326514316
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Entity Type | Individual
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Provider Name | LUCILLE V TUSSEY APRN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 100 RIDGE VIEW DR STE 105
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City | CARY
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State | NC
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Zip | 27511-5589
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Country | US
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Telephone | 919-851-7867
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Fax |
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Provider Business Mailing Address
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Address Line | 4705 UNIVERSITY DR BLDG 700
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City | DURHAM
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State | NC
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Zip | 27707-3489
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Country | US
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Telephone | 919-748-4899
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Fax | 919-237-1625
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024176350
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License Number State | VA
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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 | 5016871
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License Number State | NC
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