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NPI 1487128989

NPI 1487128989 : RICHARD TUCKER POST MSN, APN, AGNP-C : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1487128989
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD TUCKER POST MSN, APN, AGNP-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/17/2019
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    Last Update Date     |    04/25/2019
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Provider Practice Location Address
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    Address Line         |    302 3RD ST SE STE 150 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80537-6419
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    Country              |    US
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    Telephone            |    970-669-4855
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2930 11TH AVE 
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    City                 |    EVANS
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    State                |    CO
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    Zip                  |    80620-1011
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    Country              |    US
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    Telephone            |    970-350-4606
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    Fax                  |    970-350-4645
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    994179
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    APN.0994179-NP
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    License Number State |    CO
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