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General NPI Number Information
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NPI Number | 1134915267
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Entity Type | Organization
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Legal Business Name | SAINT THOMAS RHEUMATOLOGY CONSULTANTS PLLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | ST THOMAS RHEUMATOLOGY CONSULTANTS, PLLC 4230 HARDING PIKE, SUITE 1005
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City | NASHVILLE
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State | TN
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Zip | 37205
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Country | US
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Telephone | 615-964-5823
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Fax | 615-577-1696
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Provider Business Mailing Address
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Address Line | NORTHWEST REGISTERED AGENT INC 116 AGNES RD, STE. 200
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City | KNOXVILLE
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State | TN
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Zip | 37919
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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 | PHYSICIAN/RHEUMATOLOGY
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Name | MARYAM POURPAKI
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Credential |
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Telephone | 615-556-6716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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