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General NPI Number Information
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NPI Number | 1164004347
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Entity Type | Organization
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Legal Business Name | TJ HAND AND UPPER EXTREMITY SURGERY PLLC
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 4101 NW 3RD CT STE 5
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City | PLANTATION
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State | FL
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Zip | 33317-2830
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Country | US
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Telephone | 954-703-1987
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Fax | 800-507-3145
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Provider Business Mailing Address
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Address Line | PO BOX 121041
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-0009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA JOHN
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Credential | MD
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Telephone | 585-802-7527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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