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General NPI Number Information
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NPI Number | 1609889245
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Entity Type | Organization
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Legal Business Name | MICHAEL S. AUVENSHINE, M.D.
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 209 N BONNIE BRAE ST SUITE 302
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City | DENTON
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State | TX
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Zip | 76201-3708
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Country | US
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Telephone | 940-381-0146
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Fax | 940-381-0147
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Provider Business Mailing Address
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Address Line | 9003 AIRPORT FWY SUITE 300
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-7770
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Country | US
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Telephone | 817-514-5200
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Fax | 817-514-5210
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. PAMELA KINNEY COUTANT
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Credential | M.B.A.
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Telephone | 817-514-5258
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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 | L7971
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License Number State | TX
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