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General NPI Number Information
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NPI Number | 1225039761
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Entity Type | Organization
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Legal Business Name | ENDOSCOPY CENTER OF ST THOMAS LLC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 400
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City | NASHVILLE
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State | TN
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Zip | 37205-4900
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Country | US
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Telephone | 615-250-4108
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Fax | 615-297-9825
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37215-6153
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Country | US
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Telephone | 615-263-4011
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Fax | 615-234-1720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY SNODGRASS
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Credential |
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Telephone | 615-665-1283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0000000017
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License Number State | TN
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