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General NPI Number Information
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NPI Number | 1710185921
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 1926 ALCOA HWY STE 410
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City | KNOXVILLE
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State | TN
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Zip | 37920-1512
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Country | US
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Telephone | 865-544-9218
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Fax | 865-305-8262
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Provider Business Mailing Address
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Address Line | PO BOX 440251
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City | NASHVILLE
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State | TN
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Zip | 37244-0251
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6158
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CYNTHIA B MARQUART
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Credential |
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Telephone | 865-305-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State | TN
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