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General NPI Number Information
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NPI Number | 1639220783
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Entity Type | Individual
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Provider Name | JANET LEE MINELLA MD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2020 CATTLEMEN RD SUITE 600
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City | SARASOTA
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State | FL
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Zip | 34232-6283
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Country | US
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Telephone | 941-955-5191
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Fax | 941-366-7582
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Provider Business Mailing Address
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Address Line | 4306 BARRACUDA DR
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City | BRADENTON
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State | FL
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Zip | 34208-8457
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Country | US
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Telephone | 941-714-0848
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME81563
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License Number State | FL
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