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General NPI Number Information
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NPI Number | 1437624269
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Entity Type | Individual
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Provider Name | HEATHER MINUE PT, DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | USA MEDDAC 11050 MT. BELVEDERE BLVD
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City | FORT DRUM
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State | NY
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Zip | 13602-5004
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Country | US
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Telephone | 908-675-2407
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Fax |
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Provider Business Mailing Address
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Address Line | 26258 GOLDEN DR
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City | EVANS MILLS
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State | NY
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Zip | 13637-3413
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Country | US
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Telephone | 908-675-2407
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Fax |
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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