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General NPI Number Information
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NPI Number | 1407980618
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Entity Type | Organization
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Legal Business Name | THE BONE AND JOINT CENTER
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 240 MEDICAL PARK BLVD SUITE 2700
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City | BRISTOL
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State | TN
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Zip | 37620-7346
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Country | US
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Telephone | 423-844-0501
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Fax | 423-844-0006
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Provider Business Mailing Address
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Address Line | 240 MEDICAL PARK BLVD SUITE 2700
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City | BRISTOL
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State | TN
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Zip | 37620-7346
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Country | US
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Telephone | 423-844-0501
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Fax | 423-844-0006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN R TESTERMAN
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Credential | M.D.
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Telephone | 423-844-0501
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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 | MD0027285
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License Number State | TN
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