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NPI 1720832819

NPI 1720832819 : GABRIEL ERIAN MINIAS : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1720832819
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIEL ERIAN MINIAS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2024
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    3800 GAYLORD PKWY STE 1100 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-9416
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    Country              |    US
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    Telephone            |    817-527-8621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3800 GAYLORD PKWY STE 1100 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-9416
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    Country              |    US
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    Telephone            |    817-527-8621
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1224220
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    1-195900
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    License Number State |    AL
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