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General NPI Number Information
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NPI Number | 1316955560
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Entity Type | Organization
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Legal Business Name | AUSTIN RESPIRATORY AND MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 502 WARD ST W
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City | DOUGLAS
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State | GA
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Zip | 31533-3506
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Country | US
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Telephone | 912-384-4771
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Fax | 912-384-0039
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Provider Business Mailing Address
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Address Line | 502 WARD ST W
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City | DOUGLAS
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State | GA
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Zip | 31533-3506
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Country | US
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Telephone | 912-384-4771
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Fax | 912-384-0039
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. LUKE AUSTIN
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Credential |
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Telephone | 912-384-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 000080
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 00080
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License Number State | GA
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