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General NPI Number Information
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NPI Number | 1316133689
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Entity Type | Organization
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Legal Business Name | SUSAN M AUSTIN MD PLLC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 553 CLINTON AVE
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City | ALBANY
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State | NY
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Zip | 12206-2738
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Country | US
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Telephone | 518-462-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 402 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-1119
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Country | US
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Telephone | 518-374-7555
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Fax | 518-374-6898
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | SUSAN M AUSTIN
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Credential | MD
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Telephone | 518-462-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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