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General NPI Number Information
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NPI Number | 1629251855
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Entity Type | Organization
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Legal Business Name | ADLA D. TESSIER, MD, INC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 855 3RD AVE SUITE #3300
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City | CHULA VISTA
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State | CA
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Zip | 91911-1354
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Country | US
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Telephone | 619-420-1200
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Fax | 619-420-8070
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Provider Business Mailing Address
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Address Line | 855 3RD AVE SUITE #3300
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City | CHULA VISTA
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State | CA
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Zip | 91911-1354
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Country | US
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Telephone | 619-420-1200
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Fax | 619-420-8070
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. ADLA D TESSIER
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Credential | M.D.
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Telephone | 619-420-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A5666
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License Number State | CA
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