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General NPI Number Information
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NPI Number | 1508840836
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Entity Type | Individual
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Provider Name | TESSA SHEREE PERRY FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 1829 REISTERSTOWN RD STE 355
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City | PIKESVILLE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 443-943-6057
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Fax | 443-552-7439
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Provider Business Mailing Address
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Address Line | 1829 REISTERSTOWN RD STE 355
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City | PIKESVILLE
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State | MD
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Zip | 21208-6320
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Country | US
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Telephone | 443-943-6057
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Fax | 443-552-7439
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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 | R149420
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R149420
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License Number State | MD
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