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General NPI Number Information
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NPI Number | 1578501904
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Entity Type | Individual
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Provider Name | THOMAS A TESAURO MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2300 PATTERSON ST
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City | NASHVILLE
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State | TN
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Zip | 37203-1538
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Country | US
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Telephone | 615-342-6828
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Fax | 615-342-6836
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Provider Business Mailing Address
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Address Line | 2300 PATTERSON ST
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City | NASHVILLE
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State | TN
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Zip | 37203-1538
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Country | US
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Telephone | 615-342-6828
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Fax | 615-342-6836
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 27156
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 27156
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27156
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License Number State | TN
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