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General NPI Number Information
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NPI Number | 1922106285
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Entity Type | Organization
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Legal Business Name | ST. THOMAS NEUROLOGY GROUP
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE SUITE 501
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City | NASHVILLE
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State | TN
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Zip | 37205
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Country | US
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Telephone | 615-383-8575
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Fax | 615-383-8190
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Provider Business Mailing Address
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Address Line | 4230 HARDING PIKE SUITE 501
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City | NASHVILLE
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State | TN
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Zip | 37205
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Country | US
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Telephone | 615-383-8575
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Fax | 615-383-8190
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL J KAMINSKI
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Credential | MD
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Telephone | 615-383-8575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 13997
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License Number State | TN
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