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General NPI Number Information
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NPI Number | 1215469267
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Entity Type | Individual
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Provider Name | MINA DANIEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 9250 PINECROFT DR STE N2.101
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City | SHENANDOAH
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State | TX
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Zip | 77380-3218
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Country | US
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Telephone | 713-897-2307
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S WASHINGTON AVE STE 1000
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City | SCRANTON
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State | PA
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Zip | 18505-3805
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Country | US
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Telephone | 570-941-0630
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Fax | 570-203-0013
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD492242
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License Number State | PA
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