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General NPI Number Information
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NPI Number | 1841433372
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Entity Type | Individual
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Provider Name | ANNA A MINTA MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 1600 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4018
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Country | US
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Telephone | 800-232-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 CLIFTON RD MS E-98
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City | ATLANTA
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State | GA
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Zip | 30329-4018
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Country | US
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Telephone | 404-718-4737
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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 | 79056
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 79056
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License Number State | GA
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