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General NPI Number Information
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NPI Number | 1083980338
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Entity Type | Individual
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Provider Name | AUSTIN FREDERICK SHURTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 2001 WEST 86TH STREET
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City | INDIANAPOLIS
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State | IN
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Zip | 46260
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Country | US
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Telephone | 317-338-2281
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Fax | 317-338-6359
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Provider Business Mailing Address
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Address Line | PO BOX 6005-DEPT 196
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-6005
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Country | US
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Telephone | 317-614-9817
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Fax | 317-614-9655
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01074864A
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License Number State | IN
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