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NPI 1174526206

NPI 1174526206 : MINDA TE M.D. : TOLEDO, OH

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General NPI Number Information
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    NPI Number           |    1174526206
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    Entity Type          |    Individual 
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    Provider Name        |    MINDA TE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    2213 CHERRY ST. 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43608-2691
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    Country              |    US
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    Telephone            |    419-251-7960
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    Fax                  |    479-251-3816
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Provider Business Mailing Address
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    Address Line         |    2213 CHERRY ST. 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43608-2691
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    Country              |    US
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    Telephone            |    419-251-4360
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    Fax                  |    419-251-5117
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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        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    35061633
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    License Number State |    OH
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