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General NPI Number Information
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NPI Number | 1386921021
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Entity Type | Organization
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Legal Business Name | AUSTIN'S MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 10757 YORK RD
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2114
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Country | US
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Telephone | 410-377-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 6729 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-1806
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Country | US
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Telephone | 410-377-5300
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Fax | 410-377-5302
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Authorized Official
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Title or Position | OWNER
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Name | DONNA WOLK
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Credential |
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Telephone | 410-377-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 03424060
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 03424060
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License Number State | MD
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