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General NPI Number Information
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NPI Number | 1881272383
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Entity Type | Individual
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Provider Name | CYNTHIA ANN TUCKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2900 MAIN ST STE 3C
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City | STRATFORD
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State | CT
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Zip | 06614-4946
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Country | US
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Telephone | 203-378-3080
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Fax | 203-377-3897
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Provider Business Mailing Address
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Address Line | 2909 MAIN ST STE 200
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City | STRATFORD
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State | CT
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Zip | 06614-4960
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Country | US
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Telephone | 203-378-3080
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Fax | 203-377-3897
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1.078921
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License Number State | CT
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