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General NPI Number Information
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NPI Number | 1881889897
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Entity Type | Organization
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Legal Business Name | HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 161 HOSPITAL DR
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City | MC KENZIE
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State | TN
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Zip | 38201-1636
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Country | US
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Telephone | 731-644-2271
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Fax | 731-644-3980
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Provider Business Mailing Address
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Address Line | 1015 KELLEY DR SUITE 200
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City | PARIS
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State | TN
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Zip | 38242-5819
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Country | US
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Telephone | 731-644-2271
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Fax | 731-644-3980
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Authorized Official
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Title or Position | HR/ACCT MANAGER
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Name | MRS. JEANETTE TRIPLETT
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Credential |
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Telephone | 731-644-2271
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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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