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General NPI Number Information
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NPI Number | 1801271713
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Entity Type | Individual
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Provider Name | KEYERIASHON DUGAZON TUCKER F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1 EMBARCADERO CTR FL 19
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3628
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Country | US
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Telephone | 415-658-6791
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR FL 19
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3628
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP001450
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License Number State | GA
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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 | 5007796
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RNP314416
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0101925-C-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1113029
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61540163
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN10005374
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11020073
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5007796
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License Number State | NC
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