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General NPI Number Information
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NPI Number | 1033119045
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Entity Type | Individual
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Provider Name | HERMAN TESSLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 1443 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11230-6401
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Country | US
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Telephone | 718-376-9494
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Fax | 718-627-1836
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Provider Business Mailing Address
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Address Line | 1443 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11230-6401
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Country | US
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Telephone | 718-376-9494
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Fax | 718-627-1836
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 139228
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License Number State | NY
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