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General NPI Number Information
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NPI Number | 1477713964
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Entity Type | Individual
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Provider Name | JEAN-PHILIPPE AUSTIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 21355 E DIXIE HWY SUITE 111
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City | AVENTURA
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State | FL
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Zip | 33180-1238
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Country | US
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Telephone | 305-692-1100
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Fax | 305-692-1111
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Provider Business Mailing Address
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Address Line | 2234 COLONIAL BLVD
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City | FORT MYERS
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State | FL
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Zip | 33907-1412
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME49228
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License Number State | FL
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