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General NPI Number Information
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NPI Number | 1497069447
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Entity Type | Organization
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Legal Business Name | W.H.LANDERS, JR., M.D., PLLC
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 200 S MCGEE ST SUITE 100
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City | BORGER
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State | TX
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Zip | 79007-4022
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Country | US
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Telephone | 806-274-3645
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Fax | 806-273-1402
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Provider Business Mailing Address
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Address Line | 200 S MCGEE ST SUITE 100
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City | BORGER
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State | TX
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Zip | 79007-4022
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Country | US
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Telephone | 806-274-3645
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Fax | 806-273-1402
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Authorized Official
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Title or Position | OWNER
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Name | WILSON HARRY LANDERS JR.
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Credential | M.D.
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Telephone | 806-274-3645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | F 1728
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License Number State | TX
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