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General NPI Number Information
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NPI Number | 1982755039
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Entity Type | Organization
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Legal Business Name | JOHN TENNY, M.D., P.A.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 3503 W WHEATLAND RD SUITE 100
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City | DALLAS
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State | TX
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Zip | 75237-3461
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Country | US
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Telephone | 972-283-8700
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Fax | 972-283-8704
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Provider Business Mailing Address
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Address Line | PO BOX 1029
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City | RED OAK
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State | TX
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Zip | 75154-1029
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Country | US
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Telephone | 972-283-8700
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Fax | 972-283-8704
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN TENNY
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Credential |
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Telephone | 972-283-8700
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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 | G0845
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License Number State | TX
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