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General NPI Number Information
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NPI Number | 1245963008
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Entity Type | Individual
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Provider Name | AUSTIN MUELLER DPM
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Gender | Male
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 14017 JAMESTOWN RD
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City | BREESE
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State | IL
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Zip | 62230-3647
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Country | US
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Telephone | 618-526-7154
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Fax | 618-526-8248
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Provider Business Mailing Address
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Address Line | 14017 JAMESTOWN RD
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City | BREESE
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State | IL
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Zip | 62230-3647
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Country | US
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Telephone | 618-526-7154
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Fax | 618-526-8248
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135.001171
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016006106
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License Number State | IL
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