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General NPI Number Information
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NPI Number | 1861378960
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Entity Type | Individual
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Provider Name | ANNAMARIE ELIZABETH TUCKER CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 8340 MISSION RD UNIT B
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City | LEAWOOD
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State | KS
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Zip | 66206-1355
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Country | US
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Telephone | 913-213-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 METCALF AVE APT 305
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City | OVERLAND PARK
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State | KS
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Zip | 66204-3869
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Country | US
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Telephone | 770-696-3900
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5606
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License Number State | KS
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