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General NPI Number Information
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NPI Number | 1265644090
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Entity Type | Individual
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Provider Name | MATTHEW I RUDLOFF MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 1211 UNION AVE SUITE 500 CAMPBELL CLINIC
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-759-3100
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Fax | 901-759-3234
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Provider Business Mailing Address
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Address Line | 1400 S GERMANTOWN RD CAMPBELL CLINIC PC
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City | GERMANTOWN
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State | TN
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Zip | 38138
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Country | US
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Telephone | 901-759-3100
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Fax | 901-759-3234
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 45003
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License Number State | TN
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