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General NPI Number Information
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NPI Number | 1235184300
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Entity Type | Individual
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Provider Name | THOMAS ROBERT MITCHELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | TENNESSE VALLEY HEALTHCARE SYSTEM 1310 24TH AVENUE SOUTH
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City | NASHVILLE
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State | TN
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Zip | 37212-2637
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Country | US
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Telephone | 615-225-4830
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Fax | 615-225-4831
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Provider Business Mailing Address
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Address Line | 3370 SWEENEY HOLLOW RD
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City | FRANKLIN
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State | TN
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Zip | 37064-9575
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Country | US
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Telephone | 615-790-8799
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD17790
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License Number State | TN
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