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General NPI Number Information
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NPI Number | 1619904596
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Entity Type | Individual
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Provider Name | K. TYSON THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 705
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-385-1547
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Fax | 615-297-9161
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Provider Business Mailing Address
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Address Line | 410 42ND AVE N STE 400
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City | NASHVILLE
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State | TN
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Zip | 37209-3658
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Country | US
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Telephone | 615-292-5722
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Fax | 615-346-6225
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD37855
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License Number State | TN
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