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General NPI Number Information
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NPI Number | 1790019669
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Entity Type | Organization
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Legal Business Name | JOSHUA AUSTIN, DDS PLLC
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 4553 N. LOOP 1604 WEST SUITE 1211
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-408-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 4553 N. LOOP 1604 W. #1211
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-408-7999
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. JOSHUA A AUSTIN
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Credential | DDS
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Telephone | 210-408-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22815
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License Number State | TX
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