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General NPI Number Information
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NPI Number | 1477493534
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Entity Type | Organization
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Legal Business Name | MARY AUSTIN PMHNP LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 101 N PLAZA EAST BLVD STE 303
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City | EVANSVILLE
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State | IN
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Zip | 47715-2871
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Country | US
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Telephone | 812-479-1511
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Fax | 812-473-1035
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY E AUSTIN
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Credential | PMHNP
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Telephone | 812-479-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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