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General NPI Number Information
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NPI Number | 1679888226
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Entity Type | Organization
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Legal Business Name | WILLIAM F TUCKER JR MD PA
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN SUITE 404
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 214-265-5050
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Fax | 214-265-0505
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Provider Business Mailing Address
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Address Line | 8440 WALNUT HILL LN SUITE 250
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-265-5050
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Fax | 214-265-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM F TUCKER JR.
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Credential | MD
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Telephone | 214-265-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H8474
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License Number State | TN
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