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Individual
MR. NELSON A MIN
Active
Individual
MR. NELSON A MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204261
VA
225100000X
Physical Therapist
J1-0001744
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249890
ANTHEM
VA
01
—
701966
NCPPO
VA
01
—
7060-0001
CAREFIRST BCBS
VA
01
—
P00163524-DC3456
RAILROAD MEDICARE
VA
Enumeration date
10/14/2005
Last updated
04/16/2008
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