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General NPI Number Information
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NPI Number | 1982909065
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Entity Type | Organization
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Legal Business Name | SARA AUSTIN, M.D., P.A.
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 711 W 38TH ST # F
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City | AUSTIN
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State | TX
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Zip | 78705-1121
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Country | US
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Telephone | 512-637-5854
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Fax | 512-637-5855
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Provider Business Mailing Address
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Address Line | 711 W 38TH ST # F
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City | AUSTIN
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State | TX
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Zip | 78705-1121
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Country | US
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Telephone | 512-637-5854
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Fax | 512-637-5855
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARA G AUSTIN
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Credential | M.D.
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Telephone | 512-637-5854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J0430
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License Number State | TX
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