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General NPI Number Information
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NPI Number | 1376689174
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Entity Type | Individual
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Provider Name | NATHAN JAY AUSTIN PT
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 201 GOVERNORS DRIVE 1ST FLOOR
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5123
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Country | US
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Telephone | 256-533-1600
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Fax | 256-539-0856
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Provider Business Mailing Address
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Address Line | 201 GOVERNORS DRIVE 1ST FLOOR
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5123
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Country | US
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Telephone | 256-533-1600
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Fax | 256-539-0856
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH3335
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License Number State | AL
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