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General NPI Number Information
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NPI Number | 1053311001
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Entity Type | Individual
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Provider Name | TESSA M ASDELL MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 533 E COUNTY LINE RD SUITE 102
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City | GREENWOOD
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State | IN
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Zip | 46143-1048
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Country | US
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Telephone | 317-497-6626
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Fax | 317-887-4691
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2805
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Country | US
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Telephone |
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01043684A
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License Number State | IN
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