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General NPI Number Information
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NPI Number | 1942953245
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Entity Type | Individual
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Provider Name | TESSA HOVEN RN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4254 JACKSON HWY
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City | CHEHALIS
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State | WA
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Zip | 98532-8424
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Country | US
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Telephone | 360-996-6603
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Fax | 360-996-6604
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Provider Business Mailing Address
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Address Line | 179 BRADY LN
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City | WINLOCK
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State | WA
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Zip | 98596-9368
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60480893
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License Number State | WA
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