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Individual
TARVEZ TUCKER
Active
Individual
TARVEZ TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD 158051
OR
2084N0400X
Neurology Physician
MD158051
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648851
—
OR
05
—
64096597
—
KY
Enumeration date
05/20/2006
Last updated
01/14/2017
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