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NPI 1972472520

NPI 1972472520 : JE & VE TUCKER WRTS HUNTSVILLE LLC : OWENS CROSS ROADS, AL

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General NPI Number Information
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    NPI Number           |    1972472520
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    Entity Type          |    Organization 
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    Legal Business Name  |    JE & VE TUCKER WRTS HUNTSVILLE LLC 
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Dates
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    Enumeration Date     |    11/03/2025
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    Last Update Date     |    11/26/2025
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Provider Practice Location Address
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    Address Line         |    6585 HIGHWAY 431 S # 245 
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    City                 |    OWENS CROSS ROADS
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    State                |    AL
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    Zip                  |    35763-9230
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    Country              |    US
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    Telephone            |    256-585-2179
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    Fax                  |    256-935-1135
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Provider Business Mailing Address
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    Address Line         |    6585 HIGHWAY 431 S # 245 
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    City                 |    OWENS CROSS ROADS
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    State                |    AL
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    Zip                  |    35763-9230
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    Country              |    US
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    Telephone            |    256-585-2179
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    Fax                  |    256-935-1135
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     VANESSA E TUCKER 
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    Credential           |    
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    Telephone            |    256-585-2179
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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