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General NPI Number Information
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NPI Number | 1568330991
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Entity Type | Individual
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Provider Name | BRIGETTE JAY STUCKEY
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR
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City | OXNARD
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State | CA
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Zip | 93036-2612
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Country | US
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Telephone | 805-814-1556
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Fax | 805-814-1556
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Provider Business Mailing Address
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Address Line | 2030 AVENIDA PLACIDA UNIT 4
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City | SIMI VALLEY
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State | CA
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Zip | 93063-4039
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Country | US
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Telephone | 213-296-3728
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Fax | 213-296-3700
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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