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General NPI Number Information
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NPI Number | 1841589744
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Entity Type | Individual
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Provider Name | TAMARA D AUSTIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 406 N POINSETT HWY
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City | TRAVELERS REST
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State | SC
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Zip | 29690
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Country | US
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Telephone | 864-834-4151
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Fax | 864-834-6145
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Provider Business Mailing Address
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Address Line | PO BOX 25039
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City | GREENVILLE
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State | SC
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Zip | 29616-0039
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Country | US
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Telephone | 864-834-4151
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Fax | 864-834-6145
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1607
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.1344
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License Number State | AL
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