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General NPI Number Information
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NPI Number | 1588161442
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Entity Type | Individual
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Provider Name | ALYSSA BETH THOMPSON-TUCKER FNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2 BON AIR RD STE 120
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City | LARKSPUR
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State | CA
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Zip | 94939-1142
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Country | US
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Telephone | 415-925-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 38690 STIVERS ST STE A
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City | FREMONT
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State | CA
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Zip | 94536-5276
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Country | US
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Telephone | 510-248-1040
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95018493
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018493
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License Number State | CA
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