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General NPI Number Information
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NPI Number | 1982289674
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Entity Type | Organization
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Legal Business Name | S. AUSTIN, LLC
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Dates
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Enumeration Date | 03/14/2021
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Last Update Date | 04/24/2021
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Provider Practice Location Address
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Address Line | 480 E NORTHFIELD DR STE 600
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City | BROWNSBURG
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State | IN
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Zip | 46112-2435
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Country | US
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Telephone | 317-932-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 563 WINDWOOD CT
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City | BROWNSBURG
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State | IN
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Zip | 46112-9344
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Country | US
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Telephone | 317-932-0099
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Fax | 317-933-1172
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Authorized Official
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Title or Position | OWNER/DOCTOR OF AUDIOLOGY
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Name | DR. SHANNON LEIGH AUSTIN
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Credential | AU.D.
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Telephone | 317-932-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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