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General NPI Number Information
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NPI Number | 1629953104
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Entity Type | Individual
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Provider Name | TESSA GREESON
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1099 JAY ST
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City | ROCHESTER
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State | NY
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Zip | 14611-1153
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Country | US
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Telephone | 585-328-0834
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Fax |
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Provider Business Mailing Address
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Address Line | 270 DANIEL DR APT 5
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City | WEBSTER
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State | NY
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Zip | 14580-2944
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Country | US
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Telephone | 585-760-4641
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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