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General NPI Number Information
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NPI Number | 1144025107
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Entity Type | Individual
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Provider Name | ANTHONY J MINGO EMT-CP, CHW-C
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Gender | Male
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 6900 BILL GUM BUSINESS BLVD
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City | MINERAL POINT
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State | MO
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Zip | 63660-9253
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Country | US
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Telephone | 573-438-3635
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Fax | 573-438-3665
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Provider Business Mailing Address
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Address Line | 6900 BILL GUM BUSINESS BLVD
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City | MINERAL POINT
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State | MO
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Zip | 63660-9253
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Country | US
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Telephone | 573-438-3635
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Fax | 573-438-3665
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 17201
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | CP-18785
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License Number State | MO
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