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General NPI Number Information
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NPI Number | 1093864985
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Entity Type | Organization
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Legal Business Name | LEE AUSTIN AND ISHRAT HUSAIN MDS
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 7365 CARNELIAN ST STE #137
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1100
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Country | US
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Telephone | 909-948-8888
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Fax | 909-948-8839
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Provider Business Mailing Address
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Address Line | 7365 CARNELIAN ST STE #137
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1100
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Country | US
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Telephone | 909-948-8888
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Fax | 909-948-8839
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Authorized Official
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Title or Position | DERMATOLOGIST COOWNER
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Name | DR. LEE S AUSTIN
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Credential | MD
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Telephone | 909-948-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C39629
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G43777
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License Number State | CA
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