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General NPI Number Information
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NPI Number | 1447480355
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Entity Type | Individual
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Provider Name | MARY AUGER HOUSTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 200 N GLEBE RD STE 300
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City | ARLINGTON
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State | VA
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Zip | 22203-3755
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Country | US
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Telephone | 703-243-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 N KENILWORTH ST
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City | ARLINGTON
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State | VA
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Zip | 22205-2821
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Country | US
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Telephone | 919-440-2035
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110003885
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License Number State | VA
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