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General NPI Number Information
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NPI Number | 1831140581
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Entity Type | Individual
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Provider Name | DAVID BRIAN MINTER MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 211 HIGH GATE LOOP
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City | AIKEN
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State | SC
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Zip | 29803-3921
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Country | US
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Telephone | 803-265-8117
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Fax | 803-265-2502
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Provider Business Mailing Address
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Address Line | 1706 MAGNOLIA WAY
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City | AUGUSTA
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State | GA
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Zip | 30909-9481
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Country | US
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Telephone | 706-210-7529
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Fax | 706-312-7610
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 28695
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 044024
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 28695
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 044024
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License Number State | GA
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