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General NPI Number Information
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NPI Number | 1255502183
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Entity Type | Organization
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Legal Business Name | CAROLYN C. THOMPSON, M.D. ; PC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 5651 FRIST BLVD STE 505
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City | HERMITAGE
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State | TN
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Zip | 37076-2059
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Country | US
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Telephone | 615-874-1016
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Fax | 615-874-9925
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Provider Business Mailing Address
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Address Line | 5651 FRIST BLVD STE 505
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City | HERMITAGE
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State | TN
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Zip | 37076-2059
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Country | US
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Telephone | 615-874-1016
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Fax | 615-874-9925
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | COLLEEN BROOKS
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Credential |
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Telephone | 615-874-1016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD0000029044
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License Number State | TN
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