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NPI Code Detail

MEDICARE: AUSTIN JOSEPH CLUSTER INTERN

MEDICARE: AUSTIN JOSEPH CLUSTER INTERN
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
11041C0700XClinical Social WorkerUT

General Provider Information

NPI Number : 1316737273
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN JOSEPH CLUSTER INTERN
Provider Business Mailing Address
First Line : 90 E 200 N
Second Line :
City : LOGAN
State : UT
Zip : 84321-4034
Country : US
Telephone Number : 435-752-0750
Fax Number :
Provider Business Practice Location Address
First Line : 90 E 200 N
Second Line :
City : LOGAN
State : UT
Zip : 84321-4034
Country : US
Telephone Number : 435-752-0750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/14/2026

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Directions to “ AUSTIN JOSEPH CLUSTER INTERN” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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