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General NPI Number Information
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NPI Number | 1023281896
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Entity Type | Organization
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Legal Business Name | WEST TENNESSEE HAND CENTER, PLLC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 19 SECURITY DR
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City | JACKSON
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State | TN
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Zip | 38305-3626
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Country | US
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Telephone | 731-256-8300
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Fax | 731-256-8302
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Provider Business Mailing Address
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Address Line | 19 SECURITY DR
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City | JACKSON
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State | TN
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Zip | 38305-3626
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Country | US
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Telephone | 731-256-8300
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Fax | 731-256-8302
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES KENNETH LANTER
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Credential | M.D.
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Telephone | 731-256-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD0000021629
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License Number State | TN
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