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General NPI Number Information
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NPI Number | 1992786628
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Entity Type | Individual
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Provider Name | RUFUS J. MARK
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 421 SOUTH MAIN STREET
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City | CROSSVILLE
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State | TN
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Zip | 38555-5048
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Country | US
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Telephone | 931-456-8390
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Fax | 931-456-8389
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Provider Business Mailing Address
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Address Line | PO BOX 24120
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City | KNOXVILLE
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State | TN
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Zip | 37933-2120
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Country | US
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Telephone | 865-803-4321
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Fax | 580-250-5183
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 46094
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License Number State | AZ
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