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General NPI Number Information
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NPI Number | 1861539256
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Entity Type | Organization
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Legal Business Name | BARRY I AUSTER MD PC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 31420 NORTHWESTERN HWY SUITE 150
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2508
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Country | US
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Telephone | 248-538-0109
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Fax | 248-538-0675
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Provider Business Mailing Address
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Address Line | 31420 NORTHWESTERN HWY SUITE 150
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2508
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Country | US
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Telephone | 248-538-0109
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Fax | 248-538-0675
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY I AUSTER
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Credential | MD
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Telephone | 248-538-0109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 4301039912
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License Number State | MI
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