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General NPI Number Information
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NPI Number | 1326236613
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Entity Type | Organization
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Legal Business Name | TESSERAE GENETICS, INC.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 7777 FOREST LN B240
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-6524
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Fax | 480-772-4102
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Provider Business Mailing Address
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Address Line | 9702 VINEWOOD DR
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City | DALLAS
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State | TX
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Zip | 75228-3772
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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 | GENETICIST
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Name | DR. ANGELA ELIZABETH SCHEUERLE
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Credential | M.D.
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Telephone | 972-566-6524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | J7656
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License Number State | TX
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