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General NPI Number Information
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NPI Number | 1053424143
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Entity Type | Individual
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Provider Name | AUSTIN WAND MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST DEPARTMENT OF RADIOLOGY
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City | CINCINNATI
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State | OH
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Zip | 45267-1000
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Country | US
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Telephone | 513-584-2146
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Fax | 513-584-0431
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Provider Business Mailing Address
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Address Line | 2600 EUCLID AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2102
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Country | US
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Telephone | 513-618-2848
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Fax | 513-618-2849
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35078200
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License Number State | OH
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