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General NPI Number Information
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NPI Number | 1790505303
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Entity Type | Organization
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Legal Business Name | MARCUS RUSHING MD, PLLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 2785 E GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48211-2003
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Country | US
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Telephone | 313-473-9321
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Fax | 313-557-1957
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Provider Business Mailing Address
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Address Line | 1144 S DETROIT AVE UNIT 141184
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City | TOLEDO
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State | OH
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Zip | 43614-8342
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Country | US
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Telephone | 313-473-9321
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Fax |
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | DR. MARCUS RUSHING
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Credential | MD, MPH, MS
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Telephone | 313-473-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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