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NPI Code Detail

MEDICARE: CHRISTINA TUCKER

MEDICARE:   CHRISTINA  TUCKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyOH

General Provider Information

NPI Number : 1881290906
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA TUCKER
Provider Business Mailing Address
First Line : 131 BLUE SPRUCE CT
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4005
Country : US
Telephone Number : 614-937-2909
Fax Number :
Provider Business Practice Location Address
First Line : 131 BLUE SPRUCE CT
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4005
Country : US
Telephone Number : 614-937-2909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2020
Last Update Date : 12/06/2020

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Directions to “ CHRISTINA TUCKER ” Practice Location

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