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General NPI Number Information
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NPI Number | 1609757863
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Entity Type | Individual
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Provider Name | SOLOMON TESSEGA
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Gender | Male
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone | 125-384-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 14044 28TH AVE S
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City | SEATAC
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State | WA
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Zip | 98168-3825
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Country | US
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Telephone | 206-786-8894
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ML70043923
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License Number State | WA
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