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NPI 1316567415

NPI 1316567415 : TESSA HELSEL DO : BAY ST LOUIS, MS

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General NPI Number Information
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    NPI Number           |    1316567415
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    Entity Type          |    Individual 
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    Provider Name        |    TESSA HELSEL DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2020
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    Last Update Date     |    11/01/2025
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Provider Practice Location Address
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    Address Line         |    835 THAMES AVE 
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    City                 |    BAY ST LOUIS
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    State                |    MS
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    Zip                  |    39520-5005
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    Country              |    US
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    Telephone            |    228-575-2383
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    308 SAINT CHARLES ST UNIT A 
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    City                 |    BAY ST LOUIS
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    State                |    MS
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    Zip                  |    39520-3310
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    Country              |    US
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    Telephone            |    228-344-5511
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    36014
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    License Number State |    MS
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