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General NPI Number Information
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NPI Number | 1619574902
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Entity Type | Organization
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Legal Business Name | R. TUCKER, LIMITED
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 3720 FARRAGUT AVE STE 202
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City | KENSINGTON
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State | MD
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Zip | 20895-2110
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Country | US
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Telephone | 301-241-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 712 H ST NE STE 1107
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City | WASHINGTON
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State | DC
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Zip | 20002-3627
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Country | US
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Telephone | 301-241-8181
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Fax | 301-591-7843
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN TUCKER
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Credential | CNM, WHNP-BC
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Telephone | 301-241-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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