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General NPI Number Information
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NPI Number | 1265727952
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Entity Type | Organization
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Legal Business Name | AUSTIN POWER, APC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 455 OCONNOR DR SUITE 290
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City | SAN JOSE
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State | CA
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Zip | 95128-1633
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Country | US
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Telephone | 408-998-5400
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Fax | 408-998-5414
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Provider Business Mailing Address
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Address Line | 455 OCONNOR DR SUITE 290
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City | SAN JOSE
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State | CA
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Zip | 95128-1633
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Country | US
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Telephone | 408-998-5400
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Fax | 408-998-5414
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. SUZANNE MARGUERITE AUSTIN
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Credential | M.D.
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Telephone | 408-998-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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