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General NPI Number Information
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NPI Number | 1902969751
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Entity Type | Organization
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Legal Business Name | THE OFFICE OF BONE AND JOINT SURGERY, P.C.
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 7900 AIRWAYS BLVD BLDG A1
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City | SOUTHAVEN
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State | MS
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Zip | 38671-4116
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Country | US
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Telephone | 662-536-2526
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Fax | 662-536-1307
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Provider Business Mailing Address
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Address Line | 7900 AIRWAYS BLVD BLDG A1
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City | SOUTHAVEN
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State | MS
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Zip | 38671-4116
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Country | US
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Telephone | 662-536-2526
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Fax | 662-536-1307
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN T MORRIS JR.
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Credential | M.D.
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Telephone | 662-536-2526
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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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