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General NPI Number Information
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NPI Number | 1184572778
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Entity Type | Individual
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Provider Name | THOMAS R STREETMAN DNP
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Gender | Male
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 8305 SHEPHERDSVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-4532
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Country | US
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Telephone | 502-650-8566
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Fax |
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Provider Business Mailing Address
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Address Line | 8305 SHEPHERDSVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-4532
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Country | US
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Telephone | 502-650-8566
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 93493228043797
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 3049622
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 3049622
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 93493228043797
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3049622
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3049622
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 3049622
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3049622
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License Number State | KY
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