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General NPI Number Information
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NPI Number | 1003890260
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Entity Type | Individual
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Provider Name | JILL D AUSTIN PT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 11120 E 26TH ST N STE 1300
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City | WICHITA
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State | KS
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Zip | 67226-4603
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Country | US
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Telephone | 316-858-1177
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Fax | 316-858-1178
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Provider Business Mailing Address
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Address Line | 1115 N POST OAK RD
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City | WICHITA
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State | KS
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Zip | 67206-3831
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Country | US
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Telephone | 316-858-1177
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Fax | 315-858-1178
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-02955
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License Number State | KS
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