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General NPI Number Information
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NPI Number | 1942084975
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Entity Type | Individual
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Provider Name | TESSA REGINA LINDSLEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 55 FRUIT ST YAWKEY 5 SUITE 5B
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City | BOSTON
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State | MA
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Zip | 02114
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Country | US
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Telephone | 207-751-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 127 ENDICOTT ST APT 4
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City | BOSTON
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State | MA
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Zip | 02113-1686
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Country | US
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Telephone | 207-751-7066
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2345019
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License Number State | MA
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