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NPI Code Detail

MEDICARE: JOSHUA AUSTIN

MEDICARE: JOSHUA AUSTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1316336209
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA AUSTIN
Provider Business Mailing Address
First Line : 4216 ZAVALA ST
Second Line : APT. 4
City : LAS VEGAS
State : NV
Zip : 89103-3598
Country : US
Telephone Number : 702-826-7807
Fax Number :
Provider Business Practice Location Address
First Line : 6889 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4687
Country : US
Telephone Number : 702-434-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 01/15/2015

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Directions to “ JOSHUA AUSTIN ” Practice Location

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