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General NPI Number Information
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NPI Number | 1992993976
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Entity Type | Organization
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Legal Business Name | JAMES H. MINTZER, DPM PC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE STE 12
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City | WASHINGTON
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State | DC
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Zip | 20017-2110
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Country | US
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Telephone | 202-269-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 VARNUM ST NE STE 12
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City | WASHINGTON
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State | DC
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Zip | 20017-2110
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Country | US
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Telephone | 202-269-4062
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES HOWARD MINTZER
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Credential | DPM
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Telephone | 202-269-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | P0402
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License Number State | DC
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