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General NPI Number Information
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NPI Number | 1891987434
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Entity Type | Organization
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Legal Business Name | RUFUS J. MARK, M.D., P.A.
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 4101 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1121
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Country | US
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Telephone | 806-796-1122
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Fax | 806-796-1401
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Provider Business Mailing Address
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Address Line | 4302 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1140
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Country | US
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Telephone | 806-796-1122
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Fax | 806-796-1401
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUFUS J MARK
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Credential | M.D.
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Telephone | 806-796-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | L2445
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License Number State | TX
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