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General NPI Number Information
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NPI Number | 1750679452
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Entity Type | Individual
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Provider Name | LAUREN AUSTIN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 3223 HOWELL MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30327-4105
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Country | US
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Telephone | 404-367-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 704 RAINSWOOD CT
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City | CLARKSVILLE
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State | TN
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Zip | 37043-1944
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Country | US
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Telephone | 732-996-5335
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT010345
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License Number State | GA
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