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General NPI Number Information
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NPI Number | 1659312411
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Entity Type | Organization
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Legal Business Name | MINKES & DEERE, M.D.'S
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 11480 BROOKSHIRE AVE SUITE 111
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City | DOWNEY
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State | CA
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Zip | 90241-5010
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Country | US
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Telephone | 562-904-1651
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Fax | 562-904-1656
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Provider Business Mailing Address
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Address Line | 11480 BROOKSHIRE AVE SUITE 111
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City | DOWNEY
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State | CA
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Zip | 90241-5010
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Country | US
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Telephone | 562-904-1651
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Fax | 562-904-1656
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RITA K AGUILAR
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Credential |
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Telephone | 562-904-1651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G54147
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License Number State | CA
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