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General NPI Number Information
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NPI Number | 1003092966
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Entity Type | Organization
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Legal Business Name | DONALD C AUSTIN MD PC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 96 NORTHBOUND GRATIOT AVE SUITE 102
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2349
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Country | US
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Telephone | 586-954-4677
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Fax | 586-954-4678
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Provider Business Mailing Address
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Address Line | 96 NORTHBOUND GRATIOT AVE SUITE 102
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2349
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Country | US
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Telephone | 586-954-4677
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Fax | 586-954-4678
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD C AUSTIN
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Credential | MD
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Telephone | 586-954-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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