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General NPI Number Information
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NPI Number | 1972536639
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Entity Type | Individual
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Provider Name | ANDREW P MINIGUTTI MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 4280 MAIN ST STE 200
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City | FRISCO
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State | TX
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Zip | 75033-3075
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Country | US
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Telephone | 972-464-2510
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Fax | 214-705-1379
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Provider Business Mailing Address
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Address Line | 4280 MAIN ST STE 200
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City | FRISCO
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State | TX
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Zip | 75033-3080
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Country | US
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Telephone | 972-464-2510
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Fax | 214-705-1379
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 85855495
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3756
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License Number State | TX
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