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General NPI Number Information
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NPI Number | 1194704205
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Entity Type | Individual
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Provider Name | DONALD W AUGUSTIN PAC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 100 EAST CARROLL STREET
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-543-7100
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Fax | 410-546-6350
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-740-7544
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Fax | 410-500-4266
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0002223
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License Number State | MD
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