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General NPI Number Information
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NPI Number | 1598987570
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Entity Type | Individual
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Provider Name | TESSA HERMANN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1022 W ARMITAGE AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60614-4102
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Country | US
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Telephone | 312-414-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 1151 W WASHINGTON BLVD UNIT 103
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City | CHICAGO
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State | IL
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Zip | 60607-2002
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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 |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4481-026
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198001607
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License Number State | IL
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