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General NPI Number Information
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NPI Number | 1497540579
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Entity Type | Organization
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Legal Business Name | THE BRIAN ALLEN TUCKER FOUNDATION
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 3077 BROWNLEE AVE
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City | COLUMBUS
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State | OH
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Zip | 43227-1849
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Country | US
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Telephone | 614-441-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 3077 BROWNLEE AVE
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City | COLUMBUS
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State | OH
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Zip | 43227-1849
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ EXECUTIVE
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Name | YOLANDA SIKANARTEY
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Credential |
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Telephone | 614-441-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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