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General NPI Number Information
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NPI Number | 1003148917
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Entity Type | Organization
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Legal Business Name | ERIC MINNS MD PA
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 10202 QUAKER AVE SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-368-3632
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Fax | 806-368-3543
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Provider Business Mailing Address
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Address Line | 10202 QUAKER AVE SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-368-3632
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Fax | 806-368-3543
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Authorized Official
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Title or Position | PATIENT CARE COORDINATOR
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Name | CASSIE TEMPLE
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Credential |
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Telephone | 806-368-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | N4592
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License Number State | TX
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