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General NPI Number Information
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NPI Number | 1538772967
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Entity Type | Individual
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Provider Name | VANESSA TUCCI
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1314 OAK ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3111
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Country | US
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Telephone | 321-727-7992
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Fax | 321-727-7664
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Provider Business Mailing Address
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Address Line | 1314 OAK ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3111
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Country | US
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Telephone | 321-727-7992
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN9356416
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11010556
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11010556
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9356416
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License Number State | FL
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