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General NPI Number Information
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NPI Number | 1548440886
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Entity Type | Individual
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Provider Name | CHERYL LYNN TUCKER N.D. D.HOM
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Gender | Female
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 11/04/2007
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Provider Practice Location Address
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Address Line | 6200 E 100 S
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City | LEBANON
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State | IN
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Zip | 46052-9614
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Country | US
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Telephone | 317-769-5263
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Fax | 317-769-5265
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Provider Business Mailing Address
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Address Line | 6200 E 100 S
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City | LEBANON
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State | IN
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Zip | 46052-9614
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Country | US
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Telephone | 317-769-5263
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Fax | 317-769-5265
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NAT226
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | NAT226
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License Number State | DC
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