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General NPI Number Information
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NPI Number | 1023166279
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Entity Type | Organization
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Legal Business Name | TENNESSEE CANCER SPECIALISTS PLLC
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 389 FORGE RIDGE RD
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City | HARROGATE
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State | TN
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Zip | 37752-7730
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Country | US
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Telephone | 423-869-5893
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Fax | 423-869-3574
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Provider Business Mailing Address
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Address Line | 6016 BROOKVALE LN STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37919-4092
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Country | US
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Telephone | 865-862-0998
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Fax | 865-544-1861
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Authorized Official
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Title or Position | CHIEF MANAGER PHYSICIAN
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Name | DR. MITCHELL D MARTIN
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Credential | M.D.
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Telephone | 865-637-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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