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General NPI Number Information
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NPI Number | 1790551604
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Entity Type | Individual
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Provider Name | AUSTIN REUTER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1911 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2313
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Country | US
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Telephone | 855-442-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S. MOUNT JULIET RD STE 235 PMB 101
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4398
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Country | US
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Telephone | 615-549-5919
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Fax | 615-549-5919
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 47295
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License Number State | TN
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