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General NPI Number Information
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NPI Number | 1265101232
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Entity Type | Individual
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Provider Name | MICHAEL DENNIS AUSTIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2021
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Last Update Date | 09/12/2021
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Provider Practice Location Address
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Address Line | 1460 S PARK AVE
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City | BUFFALO
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State | NY
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Zip | 14220-1041
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Country | US
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Telephone | 716-515-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 153 LISBON AVE
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City | BUFFALO
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State | NY
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Zip | 14214-1404
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Country | US
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Telephone | 585-472-4253
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 068134
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License Number State | NY
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