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General NPI Number Information
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NPI Number | 1356208516
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Entity Type | Individual
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Provider Name | TESSA MAE REAY
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1600 116HTH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-598-2646
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Fax | 833-450-6197
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Provider Business Mailing Address
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Address Line | 1600 116TH AVE NE STE 304
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City | BELLEVUE
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State | WA
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Zip | 98004-3057
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Country | US
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Telephone | 425-450-6197
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Fax | 833-450-6197
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2025046462
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License Number State | WA
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