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General NPI Number Information
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NPI Number | 1598872632
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Entity Type | Individual
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Provider Name | THOMAS MARION BEAHM M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 1949 GUNBARREL RD SUITE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3186
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Country | US
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Telephone | 423-485-9200
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Fax | 423-485-9204
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Provider Business Mailing Address
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Address Line | PO BOX 28415
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City | CHATTANOOGA
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State | TN
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Zip | 37424-8415
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Country | US
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Telephone | 423-485-9200
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Fax | 423-485-9204
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 14704
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License Number State | TN
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