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NPI 1710908637

NPI 1710908637 : HEIDI W TESSLER MD PC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1710908637
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEIDI W TESSLER MD PC 
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Dates
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    Enumeration Date     |    07/23/2006
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    Last Update Date     |    08/11/2011
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Provider Practice Location Address
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    Address Line         |    4600 HALE PKWY SUITE 460
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-4020
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    Country              |    US
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    Telephone            |    303-520-7282
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3464 S WILLOW ST SUITE 893
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80231-4531
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    Country              |    US
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    Telephone            |    303-755-2900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HEIDI W TESSLER 
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    Credential           |    MD
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    Telephone            |    303-420-7282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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