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General NPI Number Information
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NPI Number | 1780848267
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Entity Type | Individual
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Provider Name | JULIA THOMAS PARK NP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 5121 MARYLAND WAY STE 215
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City | BRENTWOOD
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State | TN
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Zip | 37027-7516
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Country | US
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Telephone | 615-557-7585
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Fax | 615-246-3958
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Provider Business Mailing Address
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Address Line | 5121 MARYLAND WAY STE 215
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City | BRENTWOOD
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State | TN
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Zip | 37027-7516
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Country | US
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Telephone | 615-557-7585
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Fax | 615-246-3958
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APN7739
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License Number State | TN
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