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General NPI Number Information
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NPI Number | 1558506980
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Entity Type | Organization
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Legal Business Name | SAINT THOMAS MEDICAL PARTNERS
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 2021 CHURCH ST STE. 102
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City | NASHVILLE
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State | TN
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Zip | 37203-2021
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Country | US
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Telephone | 615-284-7555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 501123
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City | SAINT LOUIS
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State | MO
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Zip | 63150-0001
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Country | US
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Telephone | 615-284-8740
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BERNIE SHERRY
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Credential |
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Telephone | 615-284-6851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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