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General NPI Number Information
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NPI Number | 1215108352
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Entity Type | Organization
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Legal Business Name | STEVEN M AUSTIN DDS PA
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 701 S LAUREL ST STE 1
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City | LINCOLNTOWN
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State | NC
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Zip | 28092
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Country | US
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Telephone | 704-735-1606
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Fax | 704-732-8772
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Provider Business Mailing Address
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Address Line | 701 S LAUREL ST STE 1
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City | LINCOLNTOWN
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State | NC
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Zip | 28092
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Country | US
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Telephone | 704-735-1606
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Fax | 704-732-8772
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Authorized Official
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Title or Position | PRESIDENT ORTHODONTIST
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Name | MR. STEVEN MILLER AUSTIN
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Credential | DDS
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Telephone | 704-735-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6312
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License Number State | NC
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