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General NPI Number Information
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NPI Number | 1497387229
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Entity Type | Individual
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Provider Name | MARY ANNE TESSITORE FNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 23869 W STATE HWY 6 SUITE-D
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City | ALVIN
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State | TX
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Zip | 77511-7952
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Country | US
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Telephone | 832-532-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 CANYON DR
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City | IOWA COLONY
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State | TX
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Zip | 77583-2895
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Country | US
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Telephone | 832-766-1435
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP145049
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License Number State | TX
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