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General NPI Number Information
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NPI Number | 1235269879
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Entity Type | Organization
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Legal Business Name | SOUTHERN HILLS ORTHOPAEDIC CONSULTANTS LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/17/2007
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Provider Practice Location Address
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Address Line | 395 WALLACE RD SUITE 201
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City | NASHVILLE
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State | TN
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Zip | 37211-4881
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Country | US
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Telephone | 615-781-1001
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Fax | 615-781-1002
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Provider Business Mailing Address
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Address Line | 395 WALLACE RD SUITE 201
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City | NASHVILLE
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State | TN
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Zip | 37211-4881
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Country | US
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Telephone | 615-781-1001
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Fax | 615-781-1002
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHUCK LOCKE
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Credential |
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Telephone | 615-373-7604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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