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General NPI Number Information
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NPI Number | 1609417997
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Entity Type | Individual
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Provider Name | MINIMOL GEORGE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 14111 KING RD STE 320
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City | FRISCO
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State | TX
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Zip | 75036-0810
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Country | US
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Telephone | 469-888-4890
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Fax | 866-292-0929
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Provider Business Mailing Address
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Address Line | 1621 SUL ROSS DR
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City | ALLEN
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State | TX
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Zip | 75002-7396
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Country | US
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Telephone | 469-560-3404
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP143154
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License Number State | TX
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