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General NPI Number Information
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NPI Number | 1457443897
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Entity Type | Individual
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Provider Name | WILLIAM KNOX AUSTIN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 405 MARION AVENUE
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City | MCCOMB
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State | MS
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Zip | 39648
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Country | US
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Telephone | 601-684-1250
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Fax | 601-684-0129
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Provider Business Mailing Address
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Address Line | P.O. BOX 666
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City | MCCOMB
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State | MS
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Zip | 39649
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Country | US
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Telephone | 601-684-1250
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Fax | 601-684-0129
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 05952
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License Number State | MS
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