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General NPI Number Information
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NPI Number | 1457152019
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Entity Type | Individual
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Provider Name | BRIAN AUSTIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2300 W FM 544 STE 130
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City | WYLIE
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State | TX
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Zip | 75098-4903
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Country | US
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Telephone | 972-442-5333
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Fax | 972-442-5356
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Provider Business Mailing Address
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Address Line | 2300 W FM 544 STE 130
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City | WYLIE
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State | TX
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Zip | 75098-4903
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Country | US
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Telephone | 972-442-5333
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Fax | 972-442-5356
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 74760
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License Number State | TX
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