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General NPI Number Information
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NPI Number | 1538345160
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Entity Type | Organization
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Legal Business Name | MICHAEL A AUSTERLITZ MD, INC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 4588 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2430
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Country | US
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Telephone | 323-265-2917
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Fax |
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Provider Business Mailing Address
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Address Line | 4588 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2430
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Country | US
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Telephone | 323-265-2917
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL AUGUST AUSTERLITZ
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Credential | MD
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Telephone | 323-265-2917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A25290
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License Number State | CA
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