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General NPI Number Information
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NPI Number | 1922515337
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Entity Type | Organization
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Legal Business Name | CLINTON M MINTER DC, PLLC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 427 N GRAND AVE
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City | GAINESVILLE
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State | TX
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Zip | 76240-4323
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Country | US
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Telephone | 940-665-0088
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Fax | 940-665-0183
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Provider Business Mailing Address
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Address Line | 427 N GRAND AVE
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City | GAINESVILLE
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State | TX
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Zip | 76240-4323
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Country | US
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Telephone | 940-665-0088
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Fax | 940-665-0183
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CLINTON MINTER
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Credential | DC
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Telephone | 940-665-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12930
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License Number State | TX
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