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NPI 1326030156

NPI 1326030156 : TENNESSEE ORTHOPEDICS, PC : LEBANON, TN

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General NPI Number Information
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    NPI Number           |    1326030156
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENNESSEE ORTHOPEDICS, PC 
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Dates
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    Enumeration Date     |    08/18/2005
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    1420 W BADDOUR PKWY STE 100 
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    City                 |    LEBANON
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    State                |    TN
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    Zip                  |    37087-1510
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    Country              |    US
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    Telephone            |    615-257-0190
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    Fax                  |    615-470-8038
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Provider Business Mailing Address
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    Address Line         |    1420 W BADDOUR PKWY STE 100 
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    City                 |    LEBANON
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    State                |    TN
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    Zip                  |    37087-1510
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    Country              |    US
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    Telephone            |    615-257-0190
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    Fax                  |    615-470-8038
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Authorized Official
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    Title or Position    |    OWNER/MD
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    Name                 |     ROY  TERRY 
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    Credential           |    MD
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    Telephone            |    615-257-0190
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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 |    TN
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