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General NPI Number Information
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NPI Number | 1467617977
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Entity Type | Organization
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Legal Business Name | NANCY TUSCANO
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 590 SEARLS AVE SUITE 3
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City | NEVADA CITY
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State | CA
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Zip | 95959-3043
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Country | US
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Telephone | 530-265-5902
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Fax | 530-265-5128
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Provider Business Mailing Address
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Address Line | PO BOX 1238
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City | YUBA CITY
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State | CA
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Zip | 95992-1238
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Country | US
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Telephone | 530-265-5902
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Fax | 530-265-5128
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Authorized Official
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Title or Position | OWNER
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Name | NANCY A TUSCANO
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Credential | RRT
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Telephone | 530-265-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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