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General NPI Number Information
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NPI Number | 1467404418
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Entity Type | Individual
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Provider Name | TRISHA A STUCKEY F.N.P
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 1101 PROFESSIONAL BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47714-8016
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Country | US
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Telephone | 812-477-7246
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Fax | 812-422-2421
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Provider Business Mailing Address
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Address Line | 900 TUTOR LN STE 102
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City | EVANSVILLE
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State | IN
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Zip | 47715-7295
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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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 | 71002093A
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License Number State | IN
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