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General NPI Number Information
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NPI Number | 1528227964
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Entity Type | Organization
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Legal Business Name | AUSTIN PRIMARY CARE LLC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 101 5TH STREET SE SUITE G
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City | BARBERTON
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State | OH
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Zip | 44203-4225
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Country | US
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Telephone | 330-745-3151
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Fax | 330-745-9984
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Provider Business Mailing Address
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Address Line | 101 5TH STREET SE SUITE G
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City | BARBERTON
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State | OH
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Zip | 44203-4225
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Country | US
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Telephone | 330-745-3151
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Fax | 330-745-9984
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN C COOK
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Credential | DO
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Telephone | 330-745-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | OH
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