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General NPI Number Information
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NPI Number | 1831272020
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Entity Type | Organization
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Legal Business Name | TENNESSEE CANCER SPECIALISTS
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 101 E BLOUNT AVE STE 610
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City | KNOXVILLE
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State | TN
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Zip | 37920-1632
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Country | US
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Telephone | 865-934-5800
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Fax | 865-934-5800
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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
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Name | MITCHELL D MARTIN
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Credential | MD
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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 | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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