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General NPI Number Information
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NPI Number | 1528186079
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Entity Type | Organization
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Legal Business Name | THOMAS F PHELPS MD
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1750 CEDAR LN SUITE 300
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City | TULLAHOMA
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State | TN
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Zip | 37388-4759
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Country | US
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Telephone | 931-393-7941
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1028
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City | TULLAHOMA
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State | TN
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Zip | 37388-1028
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Country | US
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Telephone | 931-455-7710
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS F PHELPS
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Credential | MD
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Telephone | 931-455-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD0000018258
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License Number State | TN
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