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General NPI Number Information
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NPI Number | 1740500958
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Entity Type | Individual
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Provider Name | JOSHUA ERIC TUCKER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 4105 HOSPITAL ST STE 112B
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City | PASCAGOULA
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State | MS
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Zip | 39581-5304
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Country | US
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Telephone | 228-938-0700
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Fax | 228-938-0705
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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Fax | 443-595-6960
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 23604
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | DO1456
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 23604
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | DO.1456
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License Number State | AL
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