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General NPI Number Information
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NPI Number | 1932220894
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Entity Type | Organization
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Legal Business Name | CRISTINA MARIE GAETANO MINETOLA
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 108 OLD SOLOMON'S ISLAND ROAD SUITE V6
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-224-0084
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Fax | 410-224-0085
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Provider Business Mailing Address
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Address Line | 1287 ROSSBACK ROAD
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035
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Country | US
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Telephone | 443-404-1778
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Fax | 410-224-0085
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | CRISTINA MARIE MINETOLA
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Credential | L.AC.
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Telephone | 443-404-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01464
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License Number State | MD
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