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General NPI Number Information
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NPI Number | 1477654838
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Entity Type | Individual
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Provider Name | DUANE F AUSTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 639 PARK RD SUITE #100
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City | WEST HARTFORD
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State | CT
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Zip | 06107-3443
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Country | US
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Telephone | 860-521-9230
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Fax | 860-521-1709
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Provider Business Mailing Address
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Address Line | 639 PARK RD SUITE #100
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City | WEST HARTFORD
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State | CT
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Zip | 06107-3443
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Country | US
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Telephone | 860-521-9230
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Fax | 860-521-1709
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 029018
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License Number State | CT
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