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General NPI Number Information
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NPI Number | 1285899898
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Entity Type | Organization
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Legal Business Name | THE AUSTIN CENTER
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 2277 WEST ST SUITE 100
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City | GERMANTOWN
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State | TN
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Zip | 38138-5961
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Country | US
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Telephone | 901-753-4543
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Fax | 901-753-2827
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Provider Business Mailing Address
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Address Line | 2277 WEST ST SUITE 100
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City | GERMANTOWN
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State | TN
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Zip | 38138-5961
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Country | US
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Telephone | 901-753-4543
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Fax | 901-753-7081
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SUSAN M AUSTIN
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Credential | MD
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Telephone | 901-753-4543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 27207
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License Number State | TN
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