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General NPI Number Information
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NPI Number | 1386448934
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Entity Type | Individual
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Provider Name | TESSA PENDLETON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 8436 W 3RD ST STE 800
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City | LOS ANGELES
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State | CA
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Zip | 90048-4100
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Country | US
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Telephone | 424-800-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 13603 MARINA POINTE DR APT B306
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5590
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Country | US
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Telephone | 619-838-2911
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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